48
1 KNOWING YOUR GENERAL INSURANCE A financial education programme by:

KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

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Page 1: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

1

KNOWING YOUR

GENERAL INSURANCE

A financial education programme by

2

Contents

Getting to know your insurance policy 3

The basics of Motor insurance 8

The basics of Fire insurance 24

The basics of Workmenrsquos Compensation

Insurance 30

The basics of Travel insurance 38

Other types of General insurance 47

This booklet is intended to provide readers with basic understanding of general concepts in insurance It is advised that you check with your insurance company on the terms and conditions of your policy

3

Getting to Know Your Insurance Policy

WHY DO I NEED INSURANCE

Insurance provides you protection

for when things go wrong such as

car accidents lost luggage while

travelling abroad serious illness or

robbery

In life there is always a risk that

things can go wrong If they do

you will need financial assistance

to meet your costs and avoid

chaos in your finances

Insurance is about managing these

risks By taking out policies you

are transferring risk to insurance

companies for a lsquopremiumrsquo

Without insurance youre taking

the risk of meeting those costs

yourself

If you own a car have

travelled outside the

country or have taken a

loan it is very likely that you

have insurance

It is very important for you

to take the time to read the

fine print ask questions

and find the policy that fits

your needs

This booklet will help you

find out more about the

common insurance products

available in Brunei

Darussalam

Always remember to make

sure you understand your

policy BEFORE you sign

I have insurance at

work

I donrsquot think I need insurance

coverage

I wonrsquot die in an accident

It wonrsquot happen to me

I wonrsquot get cancer

4

TYPES OF INSURANCE

There are two types of insurance

1 General Insurance

Covers property such as your car house business employees

money etc

2 Family Insurance

Covers you your loved ones employees colleagues etc

BUYING INSURANCE

In Brunei Darussalam insurance is provided by insurance companies

registered by Autoriti Monetari Brunei Darussalam (AMBD)

You can obtain insurance from the following ways

1 Directly from the insurance company

2 From insurance agents that have been authorized to represent

insurance companies

3 From banks that have a bancassurance agreement with insurance

companies

4 From brokers that have been registered by AMBD

Refer to AMBDrsquos website (wwwambdgovbn) for the list of

registered insurance companies

For insurance if you buy more than one policy to protect a particular

risk you can only make one claim in the event of loss or damage The

amount payable will be paid by the insurance companies involved This

means you cannot profit from your insurance policy If you suffer a loss

you will be compensated accordingly and no more than that You will

5

be paid or lsquoindemnifiedrsquo to the position you were in before the loss

However if you wish to insure your life you can buy more than one

policy

TIPS WHEN PARTICIPATING IN INSURANCE

Shop around - Get quotes from different insurance companies and

compare what they offer Dont be afraid to ask lots of questions

Choose carefully - List the things you need (ie what you want

covered) to help you in picking the right policy

Renew your insurance - Do this when your old insurance policy

expires or as your circumstances change

Work out how much you need - Do this when you start or renew

your insurance policy so that you dont find yourself significantly

under insured

Check exclusions - Always ask what is and isnt covered by your

policy

Check the costs - you will pay a regular fee known as lsquopremiumrsquo for

your cover and when you make a claim your payout may be reduced

by an amount known as the excess Dont sign on the dotted line

until you know all the costs

Be honest with your insurance company - Provide complete and

true details because your duty of disclosure means you must tell

the truth when you fill in the proposal form If you leave details out

any future claim may be denied

6

UNDERSTANDING BASIC TAKAFUL TERMS

Takaful Definition

Policy The contract of purchasing insurance

between a person and an insurance

company

Policyholder The person who has bought the policy

Premium The amount of money you pay for your

policy

Sum insured The maximum amount of money that

you can receive from your insurance

company if there is a claim This amount

usually reflects the market value of the

property you wish to insure

Exclusion The circumstances where your policy

does not apply or cover

Extension The coverage that you can add-on to

your policy to suit your needs This is

provided at an additional premium

Excess The portion of a claim that a policyholder

is required to pay first and anything

above the excess will be paid by the

insurance company

Eg if the excess in a plan is $1000 and

the claim costs $3000 then the

policyholder will pay the first $1000 and

the remaining $2000 will be paid by the

insurance company

7

Comparison between Takaful amp Insurance

TAKAFUL INSURANCE

Contract A combination of

donation and agency or

profit sharing contract

An exchange contract (sale

and purchase) between

insurance company and

policyholder

Guarantee Takaful operator is only

the fund manager The

participant mutually

guarantees each other

The insurance company

provides the guarantee

Fund The fund belongs to the

participant and managed

by the Takaful operator

This fund is separated

from shareholderrsquos fund

The fund belongs to the

insurance company but

separates assets of

insurance fund with

shareholderrsquos fund

Indemnity Provided by the Takaful

fund

Provided by the insurance

company using the

insurance fund

Risks

treatment

Risk is shared among the

participants

Risk is transferred from the

policyholder to the

insurance company

Responsibility

of Participants

Policyholders

Participants make

contributions to the

scheme Participants

mutually guarantee each

other under the scheme

Policyholders pay premium

to the insurance company

Liability of the

Takaful

Operator

Insurance

Company

Takaful operator acts as

the administrator of the

Takaful plan and pays the

Takaful benefits from the

Takaful funds

Insurance company is liable

to pay the insurance

benefits as promised from

its assets (insurance funds

and shareholderrsquos fund)

8

Investment

of Fund

Assets of the Takaful

funds are invested in

Syariah compliant

instruments

There is no restriction apart

from those imposed for

prudential reasons

The Basics of Motor Insurance

What is motor insurance and why do I need it

Motor insurance provides cover for damage to your vehicle and covers

death and injury to third party andor damages to third party property

if you are involved in an accident Coverage depends on the type of

insurance policies you purchase

Examples of risk that you may ask

If I crash into a luxury sports car will I be able to afford the repairs

What happens if I hit a lamp post road barrier

How will I get around if my car is stolen or written off

So by having the right motor insurance it will help you with the costs

Why is motor insurance compulsory in Brunei Darussalam

In Brunei Darussalam it is against the law for a motor vehicle to be on

the road without the appropriate insurance coverage according to

Motor Vehicles Insurance (Third Party Risks) Act Chapter 90

What are the types of motor vehicles that can be insured

All types of motor vehicles that are approved to be on the road This

includes motorcycles cars trucks taxis and buses

9

Can I buy motor insurance from insurance companies outside Brunei

Darussalam

No Motor insurance can only be bought from insurance companies that

are registered by AMBD

What are the types of motor insurance policies available in Brunei

Darussalam

There are 2 types of coverage

(1) Third Party Cover (2) Comprehensive Cover

Standard Coverage Note take note of the limit provided

Covers against a) third party bodily

injury and death b) third party

property damage

Covers against a) third party bodily injury

and death b) third party property

damage c) Loss damage to your

own vehicle due to fire theft or accidental collision or overturning or whilst in transit excluding any sea route

What is excluded under these policies

Exclusions are items or conditions that are not covered in the insurance

contract for certain acts property types of damage or locations The

typical exclusions are

depreciation (wear and tear)

loss or damage of accessories

and spare parts

damage to tyres only

loss of value after repairs

electrical breakdown failures

or breakage

damage due to unlawful act or

omission of any person

cost of replacement on

parts not directly

damaged as a result of

accident and

loss or damage caused by

criminal breach of trust

and damage cause by act

of cheating

10

What additional coverage (extension) can I get for my motor policy

Additional coverage for your motor policy can be purchased by paying

additional premium These include

windscreen damages

flood storm

excess protector

passengersrsquo risks in your own vehicle

personal accident

How do I set the insured value (sum insured) for my motor policy

For new vehicles the sum covered will be the purchase price (excluding

vehicle license insurance and registration) For other vehicles the

insured value is the market value of the vehicle at the date you apply for

the insurance

Market value means an amount equal to the current accepted price of

the car It takes into account the age make model kilometers travelled

and condition of your car

What information do I need to disclose to my insurance company

You must disclose relevant information that is true and accurate

Personal details

Vehicle blue card

Existing insurance policy

Proof of No Claims Discount (NCD) earned

Details of previous claims if any and

Modification made to the motor vehicle if any

Providing false information or documents may void the insurance

policy

11

Case study

Ahmad bought a new car and participated in comprehensive

insurance He decided to add a spoiler and lower the car a few inches

to give it a more distinctive look But when the car was damaged his

claim was rejected because the car was not roadworthy and he had

not informed his insurer of the changes

Is the premium pricing for motor insurance fixed in Brunei

Darussalam

Yes to some extent There is a motor tariff rate used by Brunei

Insurance and Takaful Association (BITA) members whereby members

cannot charge lower than the tariff

What is a ldquoNo Claims Discountrdquo (NCD)

NCD stands for No-Claim Discount Some operators use the term No

Claims Bonus (NCB) This is a discount offered by insurance companies

for those car owners who have not made any claims within a year or

more The longer the car owners do not make any claims the better the

discount they may be eligible for

How are NCDs applied to my motor policy

Different NCD rates are applicable to different classes of motor

insurance In general the NCD is applied as follows

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 2: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

2

Contents

Getting to know your insurance policy 3

The basics of Motor insurance 8

The basics of Fire insurance 24

The basics of Workmenrsquos Compensation

Insurance 30

The basics of Travel insurance 38

Other types of General insurance 47

This booklet is intended to provide readers with basic understanding of general concepts in insurance It is advised that you check with your insurance company on the terms and conditions of your policy

3

Getting to Know Your Insurance Policy

WHY DO I NEED INSURANCE

Insurance provides you protection

for when things go wrong such as

car accidents lost luggage while

travelling abroad serious illness or

robbery

In life there is always a risk that

things can go wrong If they do

you will need financial assistance

to meet your costs and avoid

chaos in your finances

Insurance is about managing these

risks By taking out policies you

are transferring risk to insurance

companies for a lsquopremiumrsquo

Without insurance youre taking

the risk of meeting those costs

yourself

If you own a car have

travelled outside the

country or have taken a

loan it is very likely that you

have insurance

It is very important for you

to take the time to read the

fine print ask questions

and find the policy that fits

your needs

This booklet will help you

find out more about the

common insurance products

available in Brunei

Darussalam

Always remember to make

sure you understand your

policy BEFORE you sign

I have insurance at

work

I donrsquot think I need insurance

coverage

I wonrsquot die in an accident

It wonrsquot happen to me

I wonrsquot get cancer

4

TYPES OF INSURANCE

There are two types of insurance

1 General Insurance

Covers property such as your car house business employees

money etc

2 Family Insurance

Covers you your loved ones employees colleagues etc

BUYING INSURANCE

In Brunei Darussalam insurance is provided by insurance companies

registered by Autoriti Monetari Brunei Darussalam (AMBD)

You can obtain insurance from the following ways

1 Directly from the insurance company

2 From insurance agents that have been authorized to represent

insurance companies

3 From banks that have a bancassurance agreement with insurance

companies

4 From brokers that have been registered by AMBD

Refer to AMBDrsquos website (wwwambdgovbn) for the list of

registered insurance companies

For insurance if you buy more than one policy to protect a particular

risk you can only make one claim in the event of loss or damage The

amount payable will be paid by the insurance companies involved This

means you cannot profit from your insurance policy If you suffer a loss

you will be compensated accordingly and no more than that You will

5

be paid or lsquoindemnifiedrsquo to the position you were in before the loss

However if you wish to insure your life you can buy more than one

policy

TIPS WHEN PARTICIPATING IN INSURANCE

Shop around - Get quotes from different insurance companies and

compare what they offer Dont be afraid to ask lots of questions

Choose carefully - List the things you need (ie what you want

covered) to help you in picking the right policy

Renew your insurance - Do this when your old insurance policy

expires or as your circumstances change

Work out how much you need - Do this when you start or renew

your insurance policy so that you dont find yourself significantly

under insured

Check exclusions - Always ask what is and isnt covered by your

policy

Check the costs - you will pay a regular fee known as lsquopremiumrsquo for

your cover and when you make a claim your payout may be reduced

by an amount known as the excess Dont sign on the dotted line

until you know all the costs

Be honest with your insurance company - Provide complete and

true details because your duty of disclosure means you must tell

the truth when you fill in the proposal form If you leave details out

any future claim may be denied

6

UNDERSTANDING BASIC TAKAFUL TERMS

Takaful Definition

Policy The contract of purchasing insurance

between a person and an insurance

company

Policyholder The person who has bought the policy

Premium The amount of money you pay for your

policy

Sum insured The maximum amount of money that

you can receive from your insurance

company if there is a claim This amount

usually reflects the market value of the

property you wish to insure

Exclusion The circumstances where your policy

does not apply or cover

Extension The coverage that you can add-on to

your policy to suit your needs This is

provided at an additional premium

Excess The portion of a claim that a policyholder

is required to pay first and anything

above the excess will be paid by the

insurance company

Eg if the excess in a plan is $1000 and

the claim costs $3000 then the

policyholder will pay the first $1000 and

the remaining $2000 will be paid by the

insurance company

7

Comparison between Takaful amp Insurance

TAKAFUL INSURANCE

Contract A combination of

donation and agency or

profit sharing contract

An exchange contract (sale

and purchase) between

insurance company and

policyholder

Guarantee Takaful operator is only

the fund manager The

participant mutually

guarantees each other

The insurance company

provides the guarantee

Fund The fund belongs to the

participant and managed

by the Takaful operator

This fund is separated

from shareholderrsquos fund

The fund belongs to the

insurance company but

separates assets of

insurance fund with

shareholderrsquos fund

Indemnity Provided by the Takaful

fund

Provided by the insurance

company using the

insurance fund

Risks

treatment

Risk is shared among the

participants

Risk is transferred from the

policyholder to the

insurance company

Responsibility

of Participants

Policyholders

Participants make

contributions to the

scheme Participants

mutually guarantee each

other under the scheme

Policyholders pay premium

to the insurance company

Liability of the

Takaful

Operator

Insurance

Company

Takaful operator acts as

the administrator of the

Takaful plan and pays the

Takaful benefits from the

Takaful funds

Insurance company is liable

to pay the insurance

benefits as promised from

its assets (insurance funds

and shareholderrsquos fund)

8

Investment

of Fund

Assets of the Takaful

funds are invested in

Syariah compliant

instruments

There is no restriction apart

from those imposed for

prudential reasons

The Basics of Motor Insurance

What is motor insurance and why do I need it

Motor insurance provides cover for damage to your vehicle and covers

death and injury to third party andor damages to third party property

if you are involved in an accident Coverage depends on the type of

insurance policies you purchase

Examples of risk that you may ask

If I crash into a luxury sports car will I be able to afford the repairs

What happens if I hit a lamp post road barrier

How will I get around if my car is stolen or written off

So by having the right motor insurance it will help you with the costs

Why is motor insurance compulsory in Brunei Darussalam

In Brunei Darussalam it is against the law for a motor vehicle to be on

the road without the appropriate insurance coverage according to

Motor Vehicles Insurance (Third Party Risks) Act Chapter 90

What are the types of motor vehicles that can be insured

All types of motor vehicles that are approved to be on the road This

includes motorcycles cars trucks taxis and buses

9

Can I buy motor insurance from insurance companies outside Brunei

Darussalam

No Motor insurance can only be bought from insurance companies that

are registered by AMBD

What are the types of motor insurance policies available in Brunei

Darussalam

There are 2 types of coverage

(1) Third Party Cover (2) Comprehensive Cover

Standard Coverage Note take note of the limit provided

Covers against a) third party bodily

injury and death b) third party

property damage

Covers against a) third party bodily injury

and death b) third party property

damage c) Loss damage to your

own vehicle due to fire theft or accidental collision or overturning or whilst in transit excluding any sea route

What is excluded under these policies

Exclusions are items or conditions that are not covered in the insurance

contract for certain acts property types of damage or locations The

typical exclusions are

depreciation (wear and tear)

loss or damage of accessories

and spare parts

damage to tyres only

loss of value after repairs

electrical breakdown failures

or breakage

damage due to unlawful act or

omission of any person

cost of replacement on

parts not directly

damaged as a result of

accident and

loss or damage caused by

criminal breach of trust

and damage cause by act

of cheating

10

What additional coverage (extension) can I get for my motor policy

Additional coverage for your motor policy can be purchased by paying

additional premium These include

windscreen damages

flood storm

excess protector

passengersrsquo risks in your own vehicle

personal accident

How do I set the insured value (sum insured) for my motor policy

For new vehicles the sum covered will be the purchase price (excluding

vehicle license insurance and registration) For other vehicles the

insured value is the market value of the vehicle at the date you apply for

the insurance

Market value means an amount equal to the current accepted price of

the car It takes into account the age make model kilometers travelled

and condition of your car

What information do I need to disclose to my insurance company

You must disclose relevant information that is true and accurate

Personal details

Vehicle blue card

Existing insurance policy

Proof of No Claims Discount (NCD) earned

Details of previous claims if any and

Modification made to the motor vehicle if any

Providing false information or documents may void the insurance

policy

11

Case study

Ahmad bought a new car and participated in comprehensive

insurance He decided to add a spoiler and lower the car a few inches

to give it a more distinctive look But when the car was damaged his

claim was rejected because the car was not roadworthy and he had

not informed his insurer of the changes

Is the premium pricing for motor insurance fixed in Brunei

Darussalam

Yes to some extent There is a motor tariff rate used by Brunei

Insurance and Takaful Association (BITA) members whereby members

cannot charge lower than the tariff

What is a ldquoNo Claims Discountrdquo (NCD)

NCD stands for No-Claim Discount Some operators use the term No

Claims Bonus (NCB) This is a discount offered by insurance companies

for those car owners who have not made any claims within a year or

more The longer the car owners do not make any claims the better the

discount they may be eligible for

How are NCDs applied to my motor policy

Different NCD rates are applicable to different classes of motor

insurance In general the NCD is applied as follows

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 3: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

3

Getting to Know Your Insurance Policy

WHY DO I NEED INSURANCE

Insurance provides you protection

for when things go wrong such as

car accidents lost luggage while

travelling abroad serious illness or

robbery

In life there is always a risk that

things can go wrong If they do

you will need financial assistance

to meet your costs and avoid

chaos in your finances

Insurance is about managing these

risks By taking out policies you

are transferring risk to insurance

companies for a lsquopremiumrsquo

Without insurance youre taking

the risk of meeting those costs

yourself

If you own a car have

travelled outside the

country or have taken a

loan it is very likely that you

have insurance

It is very important for you

to take the time to read the

fine print ask questions

and find the policy that fits

your needs

This booklet will help you

find out more about the

common insurance products

available in Brunei

Darussalam

Always remember to make

sure you understand your

policy BEFORE you sign

I have insurance at

work

I donrsquot think I need insurance

coverage

I wonrsquot die in an accident

It wonrsquot happen to me

I wonrsquot get cancer

4

TYPES OF INSURANCE

There are two types of insurance

1 General Insurance

Covers property such as your car house business employees

money etc

2 Family Insurance

Covers you your loved ones employees colleagues etc

BUYING INSURANCE

In Brunei Darussalam insurance is provided by insurance companies

registered by Autoriti Monetari Brunei Darussalam (AMBD)

You can obtain insurance from the following ways

1 Directly from the insurance company

2 From insurance agents that have been authorized to represent

insurance companies

3 From banks that have a bancassurance agreement with insurance

companies

4 From brokers that have been registered by AMBD

Refer to AMBDrsquos website (wwwambdgovbn) for the list of

registered insurance companies

For insurance if you buy more than one policy to protect a particular

risk you can only make one claim in the event of loss or damage The

amount payable will be paid by the insurance companies involved This

means you cannot profit from your insurance policy If you suffer a loss

you will be compensated accordingly and no more than that You will

5

be paid or lsquoindemnifiedrsquo to the position you were in before the loss

However if you wish to insure your life you can buy more than one

policy

TIPS WHEN PARTICIPATING IN INSURANCE

Shop around - Get quotes from different insurance companies and

compare what they offer Dont be afraid to ask lots of questions

Choose carefully - List the things you need (ie what you want

covered) to help you in picking the right policy

Renew your insurance - Do this when your old insurance policy

expires or as your circumstances change

Work out how much you need - Do this when you start or renew

your insurance policy so that you dont find yourself significantly

under insured

Check exclusions - Always ask what is and isnt covered by your

policy

Check the costs - you will pay a regular fee known as lsquopremiumrsquo for

your cover and when you make a claim your payout may be reduced

by an amount known as the excess Dont sign on the dotted line

until you know all the costs

Be honest with your insurance company - Provide complete and

true details because your duty of disclosure means you must tell

the truth when you fill in the proposal form If you leave details out

any future claim may be denied

6

UNDERSTANDING BASIC TAKAFUL TERMS

Takaful Definition

Policy The contract of purchasing insurance

between a person and an insurance

company

Policyholder The person who has bought the policy

Premium The amount of money you pay for your

policy

Sum insured The maximum amount of money that

you can receive from your insurance

company if there is a claim This amount

usually reflects the market value of the

property you wish to insure

Exclusion The circumstances where your policy

does not apply or cover

Extension The coverage that you can add-on to

your policy to suit your needs This is

provided at an additional premium

Excess The portion of a claim that a policyholder

is required to pay first and anything

above the excess will be paid by the

insurance company

Eg if the excess in a plan is $1000 and

the claim costs $3000 then the

policyholder will pay the first $1000 and

the remaining $2000 will be paid by the

insurance company

7

Comparison between Takaful amp Insurance

TAKAFUL INSURANCE

Contract A combination of

donation and agency or

profit sharing contract

An exchange contract (sale

and purchase) between

insurance company and

policyholder

Guarantee Takaful operator is only

the fund manager The

participant mutually

guarantees each other

The insurance company

provides the guarantee

Fund The fund belongs to the

participant and managed

by the Takaful operator

This fund is separated

from shareholderrsquos fund

The fund belongs to the

insurance company but

separates assets of

insurance fund with

shareholderrsquos fund

Indemnity Provided by the Takaful

fund

Provided by the insurance

company using the

insurance fund

Risks

treatment

Risk is shared among the

participants

Risk is transferred from the

policyholder to the

insurance company

Responsibility

of Participants

Policyholders

Participants make

contributions to the

scheme Participants

mutually guarantee each

other under the scheme

Policyholders pay premium

to the insurance company

Liability of the

Takaful

Operator

Insurance

Company

Takaful operator acts as

the administrator of the

Takaful plan and pays the

Takaful benefits from the

Takaful funds

Insurance company is liable

to pay the insurance

benefits as promised from

its assets (insurance funds

and shareholderrsquos fund)

8

Investment

of Fund

Assets of the Takaful

funds are invested in

Syariah compliant

instruments

There is no restriction apart

from those imposed for

prudential reasons

The Basics of Motor Insurance

What is motor insurance and why do I need it

Motor insurance provides cover for damage to your vehicle and covers

death and injury to third party andor damages to third party property

if you are involved in an accident Coverage depends on the type of

insurance policies you purchase

Examples of risk that you may ask

If I crash into a luxury sports car will I be able to afford the repairs

What happens if I hit a lamp post road barrier

How will I get around if my car is stolen or written off

So by having the right motor insurance it will help you with the costs

Why is motor insurance compulsory in Brunei Darussalam

In Brunei Darussalam it is against the law for a motor vehicle to be on

the road without the appropriate insurance coverage according to

Motor Vehicles Insurance (Third Party Risks) Act Chapter 90

What are the types of motor vehicles that can be insured

All types of motor vehicles that are approved to be on the road This

includes motorcycles cars trucks taxis and buses

9

Can I buy motor insurance from insurance companies outside Brunei

Darussalam

No Motor insurance can only be bought from insurance companies that

are registered by AMBD

What are the types of motor insurance policies available in Brunei

Darussalam

There are 2 types of coverage

(1) Third Party Cover (2) Comprehensive Cover

Standard Coverage Note take note of the limit provided

Covers against a) third party bodily

injury and death b) third party

property damage

Covers against a) third party bodily injury

and death b) third party property

damage c) Loss damage to your

own vehicle due to fire theft or accidental collision or overturning or whilst in transit excluding any sea route

What is excluded under these policies

Exclusions are items or conditions that are not covered in the insurance

contract for certain acts property types of damage or locations The

typical exclusions are

depreciation (wear and tear)

loss or damage of accessories

and spare parts

damage to tyres only

loss of value after repairs

electrical breakdown failures

or breakage

damage due to unlawful act or

omission of any person

cost of replacement on

parts not directly

damaged as a result of

accident and

loss or damage caused by

criminal breach of trust

and damage cause by act

of cheating

10

What additional coverage (extension) can I get for my motor policy

Additional coverage for your motor policy can be purchased by paying

additional premium These include

windscreen damages

flood storm

excess protector

passengersrsquo risks in your own vehicle

personal accident

How do I set the insured value (sum insured) for my motor policy

For new vehicles the sum covered will be the purchase price (excluding

vehicle license insurance and registration) For other vehicles the

insured value is the market value of the vehicle at the date you apply for

the insurance

Market value means an amount equal to the current accepted price of

the car It takes into account the age make model kilometers travelled

and condition of your car

What information do I need to disclose to my insurance company

You must disclose relevant information that is true and accurate

Personal details

Vehicle blue card

Existing insurance policy

Proof of No Claims Discount (NCD) earned

Details of previous claims if any and

Modification made to the motor vehicle if any

Providing false information or documents may void the insurance

policy

11

Case study

Ahmad bought a new car and participated in comprehensive

insurance He decided to add a spoiler and lower the car a few inches

to give it a more distinctive look But when the car was damaged his

claim was rejected because the car was not roadworthy and he had

not informed his insurer of the changes

Is the premium pricing for motor insurance fixed in Brunei

Darussalam

Yes to some extent There is a motor tariff rate used by Brunei

Insurance and Takaful Association (BITA) members whereby members

cannot charge lower than the tariff

What is a ldquoNo Claims Discountrdquo (NCD)

NCD stands for No-Claim Discount Some operators use the term No

Claims Bonus (NCB) This is a discount offered by insurance companies

for those car owners who have not made any claims within a year or

more The longer the car owners do not make any claims the better the

discount they may be eligible for

How are NCDs applied to my motor policy

Different NCD rates are applicable to different classes of motor

insurance In general the NCD is applied as follows

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 4: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

4

TYPES OF INSURANCE

There are two types of insurance

1 General Insurance

Covers property such as your car house business employees

money etc

2 Family Insurance

Covers you your loved ones employees colleagues etc

BUYING INSURANCE

In Brunei Darussalam insurance is provided by insurance companies

registered by Autoriti Monetari Brunei Darussalam (AMBD)

You can obtain insurance from the following ways

1 Directly from the insurance company

2 From insurance agents that have been authorized to represent

insurance companies

3 From banks that have a bancassurance agreement with insurance

companies

4 From brokers that have been registered by AMBD

Refer to AMBDrsquos website (wwwambdgovbn) for the list of

registered insurance companies

For insurance if you buy more than one policy to protect a particular

risk you can only make one claim in the event of loss or damage The

amount payable will be paid by the insurance companies involved This

means you cannot profit from your insurance policy If you suffer a loss

you will be compensated accordingly and no more than that You will

5

be paid or lsquoindemnifiedrsquo to the position you were in before the loss

However if you wish to insure your life you can buy more than one

policy

TIPS WHEN PARTICIPATING IN INSURANCE

Shop around - Get quotes from different insurance companies and

compare what they offer Dont be afraid to ask lots of questions

Choose carefully - List the things you need (ie what you want

covered) to help you in picking the right policy

Renew your insurance - Do this when your old insurance policy

expires or as your circumstances change

Work out how much you need - Do this when you start or renew

your insurance policy so that you dont find yourself significantly

under insured

Check exclusions - Always ask what is and isnt covered by your

policy

Check the costs - you will pay a regular fee known as lsquopremiumrsquo for

your cover and when you make a claim your payout may be reduced

by an amount known as the excess Dont sign on the dotted line

until you know all the costs

Be honest with your insurance company - Provide complete and

true details because your duty of disclosure means you must tell

the truth when you fill in the proposal form If you leave details out

any future claim may be denied

6

UNDERSTANDING BASIC TAKAFUL TERMS

Takaful Definition

Policy The contract of purchasing insurance

between a person and an insurance

company

Policyholder The person who has bought the policy

Premium The amount of money you pay for your

policy

Sum insured The maximum amount of money that

you can receive from your insurance

company if there is a claim This amount

usually reflects the market value of the

property you wish to insure

Exclusion The circumstances where your policy

does not apply or cover

Extension The coverage that you can add-on to

your policy to suit your needs This is

provided at an additional premium

Excess The portion of a claim that a policyholder

is required to pay first and anything

above the excess will be paid by the

insurance company

Eg if the excess in a plan is $1000 and

the claim costs $3000 then the

policyholder will pay the first $1000 and

the remaining $2000 will be paid by the

insurance company

7

Comparison between Takaful amp Insurance

TAKAFUL INSURANCE

Contract A combination of

donation and agency or

profit sharing contract

An exchange contract (sale

and purchase) between

insurance company and

policyholder

Guarantee Takaful operator is only

the fund manager The

participant mutually

guarantees each other

The insurance company

provides the guarantee

Fund The fund belongs to the

participant and managed

by the Takaful operator

This fund is separated

from shareholderrsquos fund

The fund belongs to the

insurance company but

separates assets of

insurance fund with

shareholderrsquos fund

Indemnity Provided by the Takaful

fund

Provided by the insurance

company using the

insurance fund

Risks

treatment

Risk is shared among the

participants

Risk is transferred from the

policyholder to the

insurance company

Responsibility

of Participants

Policyholders

Participants make

contributions to the

scheme Participants

mutually guarantee each

other under the scheme

Policyholders pay premium

to the insurance company

Liability of the

Takaful

Operator

Insurance

Company

Takaful operator acts as

the administrator of the

Takaful plan and pays the

Takaful benefits from the

Takaful funds

Insurance company is liable

to pay the insurance

benefits as promised from

its assets (insurance funds

and shareholderrsquos fund)

8

Investment

of Fund

Assets of the Takaful

funds are invested in

Syariah compliant

instruments

There is no restriction apart

from those imposed for

prudential reasons

The Basics of Motor Insurance

What is motor insurance and why do I need it

Motor insurance provides cover for damage to your vehicle and covers

death and injury to third party andor damages to third party property

if you are involved in an accident Coverage depends on the type of

insurance policies you purchase

Examples of risk that you may ask

If I crash into a luxury sports car will I be able to afford the repairs

What happens if I hit a lamp post road barrier

How will I get around if my car is stolen or written off

So by having the right motor insurance it will help you with the costs

Why is motor insurance compulsory in Brunei Darussalam

In Brunei Darussalam it is against the law for a motor vehicle to be on

the road without the appropriate insurance coverage according to

Motor Vehicles Insurance (Third Party Risks) Act Chapter 90

What are the types of motor vehicles that can be insured

All types of motor vehicles that are approved to be on the road This

includes motorcycles cars trucks taxis and buses

9

Can I buy motor insurance from insurance companies outside Brunei

Darussalam

No Motor insurance can only be bought from insurance companies that

are registered by AMBD

What are the types of motor insurance policies available in Brunei

Darussalam

There are 2 types of coverage

(1) Third Party Cover (2) Comprehensive Cover

Standard Coverage Note take note of the limit provided

Covers against a) third party bodily

injury and death b) third party

property damage

Covers against a) third party bodily injury

and death b) third party property

damage c) Loss damage to your

own vehicle due to fire theft or accidental collision or overturning or whilst in transit excluding any sea route

What is excluded under these policies

Exclusions are items or conditions that are not covered in the insurance

contract for certain acts property types of damage or locations The

typical exclusions are

depreciation (wear and tear)

loss or damage of accessories

and spare parts

damage to tyres only

loss of value after repairs

electrical breakdown failures

or breakage

damage due to unlawful act or

omission of any person

cost of replacement on

parts not directly

damaged as a result of

accident and

loss or damage caused by

criminal breach of trust

and damage cause by act

of cheating

10

What additional coverage (extension) can I get for my motor policy

Additional coverage for your motor policy can be purchased by paying

additional premium These include

windscreen damages

flood storm

excess protector

passengersrsquo risks in your own vehicle

personal accident

How do I set the insured value (sum insured) for my motor policy

For new vehicles the sum covered will be the purchase price (excluding

vehicle license insurance and registration) For other vehicles the

insured value is the market value of the vehicle at the date you apply for

the insurance

Market value means an amount equal to the current accepted price of

the car It takes into account the age make model kilometers travelled

and condition of your car

What information do I need to disclose to my insurance company

You must disclose relevant information that is true and accurate

Personal details

Vehicle blue card

Existing insurance policy

Proof of No Claims Discount (NCD) earned

Details of previous claims if any and

Modification made to the motor vehicle if any

Providing false information or documents may void the insurance

policy

11

Case study

Ahmad bought a new car and participated in comprehensive

insurance He decided to add a spoiler and lower the car a few inches

to give it a more distinctive look But when the car was damaged his

claim was rejected because the car was not roadworthy and he had

not informed his insurer of the changes

Is the premium pricing for motor insurance fixed in Brunei

Darussalam

Yes to some extent There is a motor tariff rate used by Brunei

Insurance and Takaful Association (BITA) members whereby members

cannot charge lower than the tariff

What is a ldquoNo Claims Discountrdquo (NCD)

NCD stands for No-Claim Discount Some operators use the term No

Claims Bonus (NCB) This is a discount offered by insurance companies

for those car owners who have not made any claims within a year or

more The longer the car owners do not make any claims the better the

discount they may be eligible for

How are NCDs applied to my motor policy

Different NCD rates are applicable to different classes of motor

insurance In general the NCD is applied as follows

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 5: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

5

be paid or lsquoindemnifiedrsquo to the position you were in before the loss

However if you wish to insure your life you can buy more than one

policy

TIPS WHEN PARTICIPATING IN INSURANCE

Shop around - Get quotes from different insurance companies and

compare what they offer Dont be afraid to ask lots of questions

Choose carefully - List the things you need (ie what you want

covered) to help you in picking the right policy

Renew your insurance - Do this when your old insurance policy

expires or as your circumstances change

Work out how much you need - Do this when you start or renew

your insurance policy so that you dont find yourself significantly

under insured

Check exclusions - Always ask what is and isnt covered by your

policy

Check the costs - you will pay a regular fee known as lsquopremiumrsquo for

your cover and when you make a claim your payout may be reduced

by an amount known as the excess Dont sign on the dotted line

until you know all the costs

Be honest with your insurance company - Provide complete and

true details because your duty of disclosure means you must tell

the truth when you fill in the proposal form If you leave details out

any future claim may be denied

6

UNDERSTANDING BASIC TAKAFUL TERMS

Takaful Definition

Policy The contract of purchasing insurance

between a person and an insurance

company

Policyholder The person who has bought the policy

Premium The amount of money you pay for your

policy

Sum insured The maximum amount of money that

you can receive from your insurance

company if there is a claim This amount

usually reflects the market value of the

property you wish to insure

Exclusion The circumstances where your policy

does not apply or cover

Extension The coverage that you can add-on to

your policy to suit your needs This is

provided at an additional premium

Excess The portion of a claim that a policyholder

is required to pay first and anything

above the excess will be paid by the

insurance company

Eg if the excess in a plan is $1000 and

the claim costs $3000 then the

policyholder will pay the first $1000 and

the remaining $2000 will be paid by the

insurance company

7

Comparison between Takaful amp Insurance

TAKAFUL INSURANCE

Contract A combination of

donation and agency or

profit sharing contract

An exchange contract (sale

and purchase) between

insurance company and

policyholder

Guarantee Takaful operator is only

the fund manager The

participant mutually

guarantees each other

The insurance company

provides the guarantee

Fund The fund belongs to the

participant and managed

by the Takaful operator

This fund is separated

from shareholderrsquos fund

The fund belongs to the

insurance company but

separates assets of

insurance fund with

shareholderrsquos fund

Indemnity Provided by the Takaful

fund

Provided by the insurance

company using the

insurance fund

Risks

treatment

Risk is shared among the

participants

Risk is transferred from the

policyholder to the

insurance company

Responsibility

of Participants

Policyholders

Participants make

contributions to the

scheme Participants

mutually guarantee each

other under the scheme

Policyholders pay premium

to the insurance company

Liability of the

Takaful

Operator

Insurance

Company

Takaful operator acts as

the administrator of the

Takaful plan and pays the

Takaful benefits from the

Takaful funds

Insurance company is liable

to pay the insurance

benefits as promised from

its assets (insurance funds

and shareholderrsquos fund)

8

Investment

of Fund

Assets of the Takaful

funds are invested in

Syariah compliant

instruments

There is no restriction apart

from those imposed for

prudential reasons

The Basics of Motor Insurance

What is motor insurance and why do I need it

Motor insurance provides cover for damage to your vehicle and covers

death and injury to third party andor damages to third party property

if you are involved in an accident Coverage depends on the type of

insurance policies you purchase

Examples of risk that you may ask

If I crash into a luxury sports car will I be able to afford the repairs

What happens if I hit a lamp post road barrier

How will I get around if my car is stolen or written off

So by having the right motor insurance it will help you with the costs

Why is motor insurance compulsory in Brunei Darussalam

In Brunei Darussalam it is against the law for a motor vehicle to be on

the road without the appropriate insurance coverage according to

Motor Vehicles Insurance (Third Party Risks) Act Chapter 90

What are the types of motor vehicles that can be insured

All types of motor vehicles that are approved to be on the road This

includes motorcycles cars trucks taxis and buses

9

Can I buy motor insurance from insurance companies outside Brunei

Darussalam

No Motor insurance can only be bought from insurance companies that

are registered by AMBD

What are the types of motor insurance policies available in Brunei

Darussalam

There are 2 types of coverage

(1) Third Party Cover (2) Comprehensive Cover

Standard Coverage Note take note of the limit provided

Covers against a) third party bodily

injury and death b) third party

property damage

Covers against a) third party bodily injury

and death b) third party property

damage c) Loss damage to your

own vehicle due to fire theft or accidental collision or overturning or whilst in transit excluding any sea route

What is excluded under these policies

Exclusions are items or conditions that are not covered in the insurance

contract for certain acts property types of damage or locations The

typical exclusions are

depreciation (wear and tear)

loss or damage of accessories

and spare parts

damage to tyres only

loss of value after repairs

electrical breakdown failures

or breakage

damage due to unlawful act or

omission of any person

cost of replacement on

parts not directly

damaged as a result of

accident and

loss or damage caused by

criminal breach of trust

and damage cause by act

of cheating

10

What additional coverage (extension) can I get for my motor policy

Additional coverage for your motor policy can be purchased by paying

additional premium These include

windscreen damages

flood storm

excess protector

passengersrsquo risks in your own vehicle

personal accident

How do I set the insured value (sum insured) for my motor policy

For new vehicles the sum covered will be the purchase price (excluding

vehicle license insurance and registration) For other vehicles the

insured value is the market value of the vehicle at the date you apply for

the insurance

Market value means an amount equal to the current accepted price of

the car It takes into account the age make model kilometers travelled

and condition of your car

What information do I need to disclose to my insurance company

You must disclose relevant information that is true and accurate

Personal details

Vehicle blue card

Existing insurance policy

Proof of No Claims Discount (NCD) earned

Details of previous claims if any and

Modification made to the motor vehicle if any

Providing false information or documents may void the insurance

policy

11

Case study

Ahmad bought a new car and participated in comprehensive

insurance He decided to add a spoiler and lower the car a few inches

to give it a more distinctive look But when the car was damaged his

claim was rejected because the car was not roadworthy and he had

not informed his insurer of the changes

Is the premium pricing for motor insurance fixed in Brunei

Darussalam

Yes to some extent There is a motor tariff rate used by Brunei

Insurance and Takaful Association (BITA) members whereby members

cannot charge lower than the tariff

What is a ldquoNo Claims Discountrdquo (NCD)

NCD stands for No-Claim Discount Some operators use the term No

Claims Bonus (NCB) This is a discount offered by insurance companies

for those car owners who have not made any claims within a year or

more The longer the car owners do not make any claims the better the

discount they may be eligible for

How are NCDs applied to my motor policy

Different NCD rates are applicable to different classes of motor

insurance In general the NCD is applied as follows

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 6: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

6

UNDERSTANDING BASIC TAKAFUL TERMS

Takaful Definition

Policy The contract of purchasing insurance

between a person and an insurance

company

Policyholder The person who has bought the policy

Premium The amount of money you pay for your

policy

Sum insured The maximum amount of money that

you can receive from your insurance

company if there is a claim This amount

usually reflects the market value of the

property you wish to insure

Exclusion The circumstances where your policy

does not apply or cover

Extension The coverage that you can add-on to

your policy to suit your needs This is

provided at an additional premium

Excess The portion of a claim that a policyholder

is required to pay first and anything

above the excess will be paid by the

insurance company

Eg if the excess in a plan is $1000 and

the claim costs $3000 then the

policyholder will pay the first $1000 and

the remaining $2000 will be paid by the

insurance company

7

Comparison between Takaful amp Insurance

TAKAFUL INSURANCE

Contract A combination of

donation and agency or

profit sharing contract

An exchange contract (sale

and purchase) between

insurance company and

policyholder

Guarantee Takaful operator is only

the fund manager The

participant mutually

guarantees each other

The insurance company

provides the guarantee

Fund The fund belongs to the

participant and managed

by the Takaful operator

This fund is separated

from shareholderrsquos fund

The fund belongs to the

insurance company but

separates assets of

insurance fund with

shareholderrsquos fund

Indemnity Provided by the Takaful

fund

Provided by the insurance

company using the

insurance fund

Risks

treatment

Risk is shared among the

participants

Risk is transferred from the

policyholder to the

insurance company

Responsibility

of Participants

Policyholders

Participants make

contributions to the

scheme Participants

mutually guarantee each

other under the scheme

Policyholders pay premium

to the insurance company

Liability of the

Takaful

Operator

Insurance

Company

Takaful operator acts as

the administrator of the

Takaful plan and pays the

Takaful benefits from the

Takaful funds

Insurance company is liable

to pay the insurance

benefits as promised from

its assets (insurance funds

and shareholderrsquos fund)

8

Investment

of Fund

Assets of the Takaful

funds are invested in

Syariah compliant

instruments

There is no restriction apart

from those imposed for

prudential reasons

The Basics of Motor Insurance

What is motor insurance and why do I need it

Motor insurance provides cover for damage to your vehicle and covers

death and injury to third party andor damages to third party property

if you are involved in an accident Coverage depends on the type of

insurance policies you purchase

Examples of risk that you may ask

If I crash into a luxury sports car will I be able to afford the repairs

What happens if I hit a lamp post road barrier

How will I get around if my car is stolen or written off

So by having the right motor insurance it will help you with the costs

Why is motor insurance compulsory in Brunei Darussalam

In Brunei Darussalam it is against the law for a motor vehicle to be on

the road without the appropriate insurance coverage according to

Motor Vehicles Insurance (Third Party Risks) Act Chapter 90

What are the types of motor vehicles that can be insured

All types of motor vehicles that are approved to be on the road This

includes motorcycles cars trucks taxis and buses

9

Can I buy motor insurance from insurance companies outside Brunei

Darussalam

No Motor insurance can only be bought from insurance companies that

are registered by AMBD

What are the types of motor insurance policies available in Brunei

Darussalam

There are 2 types of coverage

(1) Third Party Cover (2) Comprehensive Cover

Standard Coverage Note take note of the limit provided

Covers against a) third party bodily

injury and death b) third party

property damage

Covers against a) third party bodily injury

and death b) third party property

damage c) Loss damage to your

own vehicle due to fire theft or accidental collision or overturning or whilst in transit excluding any sea route

What is excluded under these policies

Exclusions are items or conditions that are not covered in the insurance

contract for certain acts property types of damage or locations The

typical exclusions are

depreciation (wear and tear)

loss or damage of accessories

and spare parts

damage to tyres only

loss of value after repairs

electrical breakdown failures

or breakage

damage due to unlawful act or

omission of any person

cost of replacement on

parts not directly

damaged as a result of

accident and

loss or damage caused by

criminal breach of trust

and damage cause by act

of cheating

10

What additional coverage (extension) can I get for my motor policy

Additional coverage for your motor policy can be purchased by paying

additional premium These include

windscreen damages

flood storm

excess protector

passengersrsquo risks in your own vehicle

personal accident

How do I set the insured value (sum insured) for my motor policy

For new vehicles the sum covered will be the purchase price (excluding

vehicle license insurance and registration) For other vehicles the

insured value is the market value of the vehicle at the date you apply for

the insurance

Market value means an amount equal to the current accepted price of

the car It takes into account the age make model kilometers travelled

and condition of your car

What information do I need to disclose to my insurance company

You must disclose relevant information that is true and accurate

Personal details

Vehicle blue card

Existing insurance policy

Proof of No Claims Discount (NCD) earned

Details of previous claims if any and

Modification made to the motor vehicle if any

Providing false information or documents may void the insurance

policy

11

Case study

Ahmad bought a new car and participated in comprehensive

insurance He decided to add a spoiler and lower the car a few inches

to give it a more distinctive look But when the car was damaged his

claim was rejected because the car was not roadworthy and he had

not informed his insurer of the changes

Is the premium pricing for motor insurance fixed in Brunei

Darussalam

Yes to some extent There is a motor tariff rate used by Brunei

Insurance and Takaful Association (BITA) members whereby members

cannot charge lower than the tariff

What is a ldquoNo Claims Discountrdquo (NCD)

NCD stands for No-Claim Discount Some operators use the term No

Claims Bonus (NCB) This is a discount offered by insurance companies

for those car owners who have not made any claims within a year or

more The longer the car owners do not make any claims the better the

discount they may be eligible for

How are NCDs applied to my motor policy

Different NCD rates are applicable to different classes of motor

insurance In general the NCD is applied as follows

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 7: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

7

Comparison between Takaful amp Insurance

TAKAFUL INSURANCE

Contract A combination of

donation and agency or

profit sharing contract

An exchange contract (sale

and purchase) between

insurance company and

policyholder

Guarantee Takaful operator is only

the fund manager The

participant mutually

guarantees each other

The insurance company

provides the guarantee

Fund The fund belongs to the

participant and managed

by the Takaful operator

This fund is separated

from shareholderrsquos fund

The fund belongs to the

insurance company but

separates assets of

insurance fund with

shareholderrsquos fund

Indemnity Provided by the Takaful

fund

Provided by the insurance

company using the

insurance fund

Risks

treatment

Risk is shared among the

participants

Risk is transferred from the

policyholder to the

insurance company

Responsibility

of Participants

Policyholders

Participants make

contributions to the

scheme Participants

mutually guarantee each

other under the scheme

Policyholders pay premium

to the insurance company

Liability of the

Takaful

Operator

Insurance

Company

Takaful operator acts as

the administrator of the

Takaful plan and pays the

Takaful benefits from the

Takaful funds

Insurance company is liable

to pay the insurance

benefits as promised from

its assets (insurance funds

and shareholderrsquos fund)

8

Investment

of Fund

Assets of the Takaful

funds are invested in

Syariah compliant

instruments

There is no restriction apart

from those imposed for

prudential reasons

The Basics of Motor Insurance

What is motor insurance and why do I need it

Motor insurance provides cover for damage to your vehicle and covers

death and injury to third party andor damages to third party property

if you are involved in an accident Coverage depends on the type of

insurance policies you purchase

Examples of risk that you may ask

If I crash into a luxury sports car will I be able to afford the repairs

What happens if I hit a lamp post road barrier

How will I get around if my car is stolen or written off

So by having the right motor insurance it will help you with the costs

Why is motor insurance compulsory in Brunei Darussalam

In Brunei Darussalam it is against the law for a motor vehicle to be on

the road without the appropriate insurance coverage according to

Motor Vehicles Insurance (Third Party Risks) Act Chapter 90

What are the types of motor vehicles that can be insured

All types of motor vehicles that are approved to be on the road This

includes motorcycles cars trucks taxis and buses

9

Can I buy motor insurance from insurance companies outside Brunei

Darussalam

No Motor insurance can only be bought from insurance companies that

are registered by AMBD

What are the types of motor insurance policies available in Brunei

Darussalam

There are 2 types of coverage

(1) Third Party Cover (2) Comprehensive Cover

Standard Coverage Note take note of the limit provided

Covers against a) third party bodily

injury and death b) third party

property damage

Covers against a) third party bodily injury

and death b) third party property

damage c) Loss damage to your

own vehicle due to fire theft or accidental collision or overturning or whilst in transit excluding any sea route

What is excluded under these policies

Exclusions are items or conditions that are not covered in the insurance

contract for certain acts property types of damage or locations The

typical exclusions are

depreciation (wear and tear)

loss or damage of accessories

and spare parts

damage to tyres only

loss of value after repairs

electrical breakdown failures

or breakage

damage due to unlawful act or

omission of any person

cost of replacement on

parts not directly

damaged as a result of

accident and

loss or damage caused by

criminal breach of trust

and damage cause by act

of cheating

10

What additional coverage (extension) can I get for my motor policy

Additional coverage for your motor policy can be purchased by paying

additional premium These include

windscreen damages

flood storm

excess protector

passengersrsquo risks in your own vehicle

personal accident

How do I set the insured value (sum insured) for my motor policy

For new vehicles the sum covered will be the purchase price (excluding

vehicle license insurance and registration) For other vehicles the

insured value is the market value of the vehicle at the date you apply for

the insurance

Market value means an amount equal to the current accepted price of

the car It takes into account the age make model kilometers travelled

and condition of your car

What information do I need to disclose to my insurance company

You must disclose relevant information that is true and accurate

Personal details

Vehicle blue card

Existing insurance policy

Proof of No Claims Discount (NCD) earned

Details of previous claims if any and

Modification made to the motor vehicle if any

Providing false information or documents may void the insurance

policy

11

Case study

Ahmad bought a new car and participated in comprehensive

insurance He decided to add a spoiler and lower the car a few inches

to give it a more distinctive look But when the car was damaged his

claim was rejected because the car was not roadworthy and he had

not informed his insurer of the changes

Is the premium pricing for motor insurance fixed in Brunei

Darussalam

Yes to some extent There is a motor tariff rate used by Brunei

Insurance and Takaful Association (BITA) members whereby members

cannot charge lower than the tariff

What is a ldquoNo Claims Discountrdquo (NCD)

NCD stands for No-Claim Discount Some operators use the term No

Claims Bonus (NCB) This is a discount offered by insurance companies

for those car owners who have not made any claims within a year or

more The longer the car owners do not make any claims the better the

discount they may be eligible for

How are NCDs applied to my motor policy

Different NCD rates are applicable to different classes of motor

insurance In general the NCD is applied as follows

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 8: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

8

Investment

of Fund

Assets of the Takaful

funds are invested in

Syariah compliant

instruments

There is no restriction apart

from those imposed for

prudential reasons

The Basics of Motor Insurance

What is motor insurance and why do I need it

Motor insurance provides cover for damage to your vehicle and covers

death and injury to third party andor damages to third party property

if you are involved in an accident Coverage depends on the type of

insurance policies you purchase

Examples of risk that you may ask

If I crash into a luxury sports car will I be able to afford the repairs

What happens if I hit a lamp post road barrier

How will I get around if my car is stolen or written off

So by having the right motor insurance it will help you with the costs

Why is motor insurance compulsory in Brunei Darussalam

In Brunei Darussalam it is against the law for a motor vehicle to be on

the road without the appropriate insurance coverage according to

Motor Vehicles Insurance (Third Party Risks) Act Chapter 90

What are the types of motor vehicles that can be insured

All types of motor vehicles that are approved to be on the road This

includes motorcycles cars trucks taxis and buses

9

Can I buy motor insurance from insurance companies outside Brunei

Darussalam

No Motor insurance can only be bought from insurance companies that

are registered by AMBD

What are the types of motor insurance policies available in Brunei

Darussalam

There are 2 types of coverage

(1) Third Party Cover (2) Comprehensive Cover

Standard Coverage Note take note of the limit provided

Covers against a) third party bodily

injury and death b) third party

property damage

Covers against a) third party bodily injury

and death b) third party property

damage c) Loss damage to your

own vehicle due to fire theft or accidental collision or overturning or whilst in transit excluding any sea route

What is excluded under these policies

Exclusions are items or conditions that are not covered in the insurance

contract for certain acts property types of damage or locations The

typical exclusions are

depreciation (wear and tear)

loss or damage of accessories

and spare parts

damage to tyres only

loss of value after repairs

electrical breakdown failures

or breakage

damage due to unlawful act or

omission of any person

cost of replacement on

parts not directly

damaged as a result of

accident and

loss or damage caused by

criminal breach of trust

and damage cause by act

of cheating

10

What additional coverage (extension) can I get for my motor policy

Additional coverage for your motor policy can be purchased by paying

additional premium These include

windscreen damages

flood storm

excess protector

passengersrsquo risks in your own vehicle

personal accident

How do I set the insured value (sum insured) for my motor policy

For new vehicles the sum covered will be the purchase price (excluding

vehicle license insurance and registration) For other vehicles the

insured value is the market value of the vehicle at the date you apply for

the insurance

Market value means an amount equal to the current accepted price of

the car It takes into account the age make model kilometers travelled

and condition of your car

What information do I need to disclose to my insurance company

You must disclose relevant information that is true and accurate

Personal details

Vehicle blue card

Existing insurance policy

Proof of No Claims Discount (NCD) earned

Details of previous claims if any and

Modification made to the motor vehicle if any

Providing false information or documents may void the insurance

policy

11

Case study

Ahmad bought a new car and participated in comprehensive

insurance He decided to add a spoiler and lower the car a few inches

to give it a more distinctive look But when the car was damaged his

claim was rejected because the car was not roadworthy and he had

not informed his insurer of the changes

Is the premium pricing for motor insurance fixed in Brunei

Darussalam

Yes to some extent There is a motor tariff rate used by Brunei

Insurance and Takaful Association (BITA) members whereby members

cannot charge lower than the tariff

What is a ldquoNo Claims Discountrdquo (NCD)

NCD stands for No-Claim Discount Some operators use the term No

Claims Bonus (NCB) This is a discount offered by insurance companies

for those car owners who have not made any claims within a year or

more The longer the car owners do not make any claims the better the

discount they may be eligible for

How are NCDs applied to my motor policy

Different NCD rates are applicable to different classes of motor

insurance In general the NCD is applied as follows

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 9: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

9

Can I buy motor insurance from insurance companies outside Brunei

Darussalam

No Motor insurance can only be bought from insurance companies that

are registered by AMBD

What are the types of motor insurance policies available in Brunei

Darussalam

There are 2 types of coverage

(1) Third Party Cover (2) Comprehensive Cover

Standard Coverage Note take note of the limit provided

Covers against a) third party bodily

injury and death b) third party

property damage

Covers against a) third party bodily injury

and death b) third party property

damage c) Loss damage to your

own vehicle due to fire theft or accidental collision or overturning or whilst in transit excluding any sea route

What is excluded under these policies

Exclusions are items or conditions that are not covered in the insurance

contract for certain acts property types of damage or locations The

typical exclusions are

depreciation (wear and tear)

loss or damage of accessories

and spare parts

damage to tyres only

loss of value after repairs

electrical breakdown failures

or breakage

damage due to unlawful act or

omission of any person

cost of replacement on

parts not directly

damaged as a result of

accident and

loss or damage caused by

criminal breach of trust

and damage cause by act

of cheating

10

What additional coverage (extension) can I get for my motor policy

Additional coverage for your motor policy can be purchased by paying

additional premium These include

windscreen damages

flood storm

excess protector

passengersrsquo risks in your own vehicle

personal accident

How do I set the insured value (sum insured) for my motor policy

For new vehicles the sum covered will be the purchase price (excluding

vehicle license insurance and registration) For other vehicles the

insured value is the market value of the vehicle at the date you apply for

the insurance

Market value means an amount equal to the current accepted price of

the car It takes into account the age make model kilometers travelled

and condition of your car

What information do I need to disclose to my insurance company

You must disclose relevant information that is true and accurate

Personal details

Vehicle blue card

Existing insurance policy

Proof of No Claims Discount (NCD) earned

Details of previous claims if any and

Modification made to the motor vehicle if any

Providing false information or documents may void the insurance

policy

11

Case study

Ahmad bought a new car and participated in comprehensive

insurance He decided to add a spoiler and lower the car a few inches

to give it a more distinctive look But when the car was damaged his

claim was rejected because the car was not roadworthy and he had

not informed his insurer of the changes

Is the premium pricing for motor insurance fixed in Brunei

Darussalam

Yes to some extent There is a motor tariff rate used by Brunei

Insurance and Takaful Association (BITA) members whereby members

cannot charge lower than the tariff

What is a ldquoNo Claims Discountrdquo (NCD)

NCD stands for No-Claim Discount Some operators use the term No

Claims Bonus (NCB) This is a discount offered by insurance companies

for those car owners who have not made any claims within a year or

more The longer the car owners do not make any claims the better the

discount they may be eligible for

How are NCDs applied to my motor policy

Different NCD rates are applicable to different classes of motor

insurance In general the NCD is applied as follows

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 10: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

10

What additional coverage (extension) can I get for my motor policy

Additional coverage for your motor policy can be purchased by paying

additional premium These include

windscreen damages

flood storm

excess protector

passengersrsquo risks in your own vehicle

personal accident

How do I set the insured value (sum insured) for my motor policy

For new vehicles the sum covered will be the purchase price (excluding

vehicle license insurance and registration) For other vehicles the

insured value is the market value of the vehicle at the date you apply for

the insurance

Market value means an amount equal to the current accepted price of

the car It takes into account the age make model kilometers travelled

and condition of your car

What information do I need to disclose to my insurance company

You must disclose relevant information that is true and accurate

Personal details

Vehicle blue card

Existing insurance policy

Proof of No Claims Discount (NCD) earned

Details of previous claims if any and

Modification made to the motor vehicle if any

Providing false information or documents may void the insurance

policy

11

Case study

Ahmad bought a new car and participated in comprehensive

insurance He decided to add a spoiler and lower the car a few inches

to give it a more distinctive look But when the car was damaged his

claim was rejected because the car was not roadworthy and he had

not informed his insurer of the changes

Is the premium pricing for motor insurance fixed in Brunei

Darussalam

Yes to some extent There is a motor tariff rate used by Brunei

Insurance and Takaful Association (BITA) members whereby members

cannot charge lower than the tariff

What is a ldquoNo Claims Discountrdquo (NCD)

NCD stands for No-Claim Discount Some operators use the term No

Claims Bonus (NCB) This is a discount offered by insurance companies

for those car owners who have not made any claims within a year or

more The longer the car owners do not make any claims the better the

discount they may be eligible for

How are NCDs applied to my motor policy

Different NCD rates are applicable to different classes of motor

insurance In general the NCD is applied as follows

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 11: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

11

Case study

Ahmad bought a new car and participated in comprehensive

insurance He decided to add a spoiler and lower the car a few inches

to give it a more distinctive look But when the car was damaged his

claim was rejected because the car was not roadworthy and he had

not informed his insurer of the changes

Is the premium pricing for motor insurance fixed in Brunei

Darussalam

Yes to some extent There is a motor tariff rate used by Brunei

Insurance and Takaful Association (BITA) members whereby members

cannot charge lower than the tariff

What is a ldquoNo Claims Discountrdquo (NCD)

NCD stands for No-Claim Discount Some operators use the term No

Claims Bonus (NCB) This is a discount offered by insurance companies

for those car owners who have not made any claims within a year or

more The longer the car owners do not make any claims the better the

discount they may be eligible for

How are NCDs applied to my motor policy

Different NCD rates are applicable to different classes of motor

insurance In general the NCD is applied as follows

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 12: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

12

Private Car (NCD) Commercial Car (NCD)

Policy Period Comprehensive Third

Party Comprehensive

Third

Party

1 year before 20 20 10 10

2 consecutive

years before

25 25 15 15

3 consecutive

years before

30 30

(max)

20 (max) 20

(max)

4 consecutive

years before

40

5 or more

consecutive

years before

50 (max)

Case study How to calculate NCD Driver A participates in a comprehensive policy for his one-year-old car and his premium amounts to BND 1000 If he did not make any claims in the year before then he is entitled to a no-claims discount of 20 This means his discount is BND 1000 X 20 = BND 200 The premium he has to pay is BND 1000 ndash BND 200 = BND 800

What is ldquoexcessrdquo

Excess is also known as ldquodeductiblerdquo It is the amount you have to pay

for each incident when you make a claim The types of excess applicable

are

1 Vehicle Excess

2 Driver Excess

a) Not named in certificate

b) Age of driver

c) Holder of provisional driving license or holder of full valid

driving license of less than 24 monthsrsquo duration

3 Geographical Area Excess

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 13: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

13

Case study How is excess applied

If the covered person has an excess of BND 500 and the total repair costs

BND 3000 then the covered person has to pay BND 500 while the

insurance company pays the remaining BND 2500

What is ldquoloadingrdquo

Loading is the additional premium you have to pay on top of the basic

premium This is to take into account of higher risk factors involved such

as age make and model of vehicle and claims experience

There are two different loadings -

(1) Model Loading

bullBased on the vehicle makeand model

bullThe basic tariff was meant forordinary vehicles

bullContinental vehicles such asMercedes Benz and BMW willapply a different modelloading because of the highcost of repairs and spare partsand the probability ofaccidents

(2) Year Loading

bullBased on the vehiclersquos year ofmanufacture

bullThe loading starts at year 6because of the new for oldprinciple

bullEg In the case of a 5-year-oldvehicle with a damagedbumper An insurancecompany cannot provide asimilar 5-year-old bumper butcan only give a new onehence the additional loading

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 14: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

14

WHAT TO DO IN AN EVENT OF AN ACCIDENTLOSS

What should I do if my vehicle is involved

in an accident in Brunei Darussalam

Note Please do not claim any liabilities without your insurance companyrsquos acknowledgement

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic Act Chapter68 to make a police report within 24 hours of a road accident

Notify your

insurancecompany

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved workshop

bullTow your damaged vehicle to a workshop approved by yourTakaful operator

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Details of Accident a) Names and addresses of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Takaful details of the other

driver(s) e) The names and addresses of

as many witnesses as possible

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license)

b) Copy of the police report made by the driver of your vehicle

c) Identity card of the owner and driver of your vehicle

d) Driving license of the owner and driver of the vehicle

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 15: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

15

What should I do if my vehicle is involved in an accident outside Brunei

Darussalam

Same as above except you may need to decide whether to tow your

vehicle back to Brunei Darussalam or to be repaired at the place of

accident

What should I do if my car is stolen in Brunei Darussalam

Take note of

the accident

bullDo not panic and do not move your car until the Police hasarrived

bullTake note of the details of the accident

Make a police report

bullYou are required under Section 33 of Road Traffic ActChapter 68 to make a police report within 24-hours of aroad accident

Notify your

insurance company

bullYou must notify your insurance company immediately

bullIf you failed to report the accident to your insurancecompany they may decline your claim for breach of policycondition

Approved Workshop

bull Tow your damaged vehicle to a workshop approved byyour insurance company

Submit your claim

bullComplete a claim form and return it to your insurancecompany with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card

(to show latest vehicle license) b) Copy of the police report made

by the driver of your vehicle c) Identity card of the owner and

driver of your vehicle d) Driving license of the owner

and driver of the vehicle

Details of Accident a) Names and address of all

drivers and passengers involved

b) Vehicle registration numbers c) Make and model of vehicle

involved d) Insurance details of the other

driver(s) e) The names and addresses of as

many witnesses as possible

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 16: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

16

Note Please do not admit any liability without your insurance

companyrsquos acknowledgement

What should I do if my car is stolen outside Brunei Darussalam

Same as above

MAKING A MOTOR CLAIM

If my car is damaged by a third party who is responsible for the repairs

to my car

You may either make an lsquoown damage claimrsquo or a lsquothird party claimrsquo

1 Own Damage Claim ndash This refer to making a claim on your own

insurance policy provided you have a comprehensive policy

However you will lose your NCD entitlement upon renewal of the

plan

2 Third Party Claim ndash You may make a third party claim if you are not

the party at fault in the accident and you can retain your NCD

entitlement

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 17: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

17

How do I make a claim for own damages (damages to my car)

Note DO NOT proceed to repair your vehicle without the consent from

your insurance company OR the loss adjuster

Notify your insurance company

bullYou must notify your insurancecompany immediately

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Approved workshop

bullYou must send your damaged car to a workshop approved by your insurancecompany

Documentation

bull Complete a claim form provided by your insurance company and send it back to them with the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 18: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

18

How do I make a third party claim (claim against the other driver)

Third party owner driver to report the accident

bullRequest the third party to report the accident to his insurance company immediately

Notify the third partys insurancecompany

bullNotify the insurance company of the third party car immediately and provide them with the relevant documents

Make a police report

bullYou are required to make a police report within 24-hours of a road accident

Workshop repair

bullSend your car to a workshop of your choice or as advice by insurancecompany

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver of

the vehicle

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 19: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

19

How do I make a claim for theft

Note Claim payable will be provided after 6 months from the date of

theft with a police report confirmation

What is a ldquowrite-offrdquo

ldquoWrite-offrdquo is a term used when a vehicle is beyond economic repairs

When your insurance company decides to ldquowrite-offrdquo it means that you

will be offered a settlement amount instead of having to repair your

vehicle

Notify your insurance company

bullYou must notify your insurance company immediately

Make a police report

bullYou are required to make a police report of the loss immediately

Documentation

Complete a claim form provided by yourinsurance company and send it back to themwith the relevant supporting documents

Supporting Documents a) Copy of the vehicle blue card (to show

latest vehicle license) b) Copy of the police report made by the

driver of your vehicle c) Identity card of the owner and driver of

your vehicle d) Driving license of the owner and driver

of the vehicle

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 20: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

20

Why is my car being written off

There are 2 types of ldquowrite-offrdquo

Can I choose which workshop repairs my car

Some insurance companies do not have a restriction on workshop and

you are free to choose your choice of workshop You will need to check

your policy as to whether your plan restricts your vehicle to be repaired

at an authorised workshop

If I make a claim what happens to my NCD

If a driver is involved in a self-accident or his vehicle caught on fire or he

loses his vehicle in a theft claim then he would lose all of his NCD

If however in a claim situation where the insured is not at fault and the

insurance company is about to recover some or all of the cost of repairs

the insured will get back all of his NCD

(1) Total write-off

bullThis is where there is nopossibility of repairs to thesaid vehicle

bullAn example would be thecrash has totally affected thestructure of the vehicle orthe vehicle was involved in afire

(2) Constructive total loss

bullThis is where the cost ofrepairs exceeds the suminsured of the vehicle

bullAn example would be wherethe cost of spare parts andlabour is say about BND10000 but the sum insuredis only BND 8000

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 21: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

21

GOOD TO KNOWhellip

If I sell my car what happens to my motor insurance plan and the NCD

You can either transfer the motor insurance policy to the new owner

and a recovery of NCD for the unused period of insurance or cancel the

policy and get a refund if there is any You can get a letter of NCD for

your othernew car

Can I transfer my NCD to a different car

Yes you can as long as that other car is also under your name subject to

additional premium to your previous car

If my car does not have a valid vehicle license is my motor insurance

plan still valid

No If your car does not have a valid vehicle license at the time of an

accident your insurance policy is not valid and the insurance company

shall not be liable for any claims arising from an accident

What happens if my car is involved in an accident when my vehicle

license and or motor insurance policy is expired

1 Expired Vehicle license ndash Your insurance company shall not be liable

for any claims arising from an accident

2 Expired Insurance Policy ndash Your insurance company shall not be

liable for any claims arising from the accident

If I modify my car is my motor insurance plan still valid

No unless approval has been obtained from Land Transport

Department Ministry of Communication and in turn approved by your

insurance company

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 22: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

22

Is it cheaper getting my motor insurance plan from an agent

It is not always cheaper if you get from an agent An agent receives

commission from insurance companies An agent may choose to give

more discounts to their customers from their commission hence

appearing to be cheaper

If I rent out my car for hire do I need to tell my insurance company

Yes If you plan to rent out your car for hire you must obtain the

appropriate motor insurance policy ie carriage for hire If you do not

and your car is involved in a car accident or is stolen while it is being

rented your insurance company will not cover the loss

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 23: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

23

The Basics of Fire Insurance

What are the types of fire insurance available in Brunei Darussalam

There are three main types of policies available

Basic Fire

Houseowner

Householder

Standard

cover

Covers for

building only

Covers the building

only

Covers household

contents and

personal effects

Perils

covered

include

Fire lightning

and explosion

(explosion of

gas used for

domestic

purposes)

Other perils can

be added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of tanks

apparatus or pipes

Theft with actual

forcible and breaking

into or out of a

building or any

attempt threat

Hurricane cyclone

typhoon windstorm

Earthquake volcanic

eruption

Flood

Other perils can be

added with

additional

contribution

Fire lightning

thunderbolt

subterranean fire

and explosion

Aircraft damage

Impact damage

Bursting or

overflowing of

tanks apparatus

or pipes

Theft with actual

forcible and

breaking into or

out of a building

or any attempt

threat

Hurricane

cyclone typhoon

windstorm

Earthquake

volcanic eruption

Flood

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 24: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

24

Depending on your needs you may wish to buy a basic fire and

householder plan or house owner and householder plan to receive

comprehensive coverage

BASIC FIRE INSURANCE

What are the types of property that can be

covered under this product

Buildings used for residential or commercial

purposes stock-in-trade plant machinery

equipment furniture fixtures and fitting

electrical appliances office and household

contents and personal effect can be covered

under this product

What is excluded under a basic fire product

The typical exclusions for this type of policy include

Theft during or after the

occurrence of a fire

Burning whether accidental or

otherwise of forests bush

lalang prairie pampas or jungle

and the cleaning of lands by fire

War or riot

Landslip

Nuclear activity

Terrorism

Asbestos

Please refer to your insurance company for details of your

exclusion Some of the above exclusions can be purchased by

extending the perils

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 25: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

25

What additional coverage (extension) can I get for my basic fire

product

Subject to underwriting consideration the following extensions can be

added with additional premium

Loss of rental

Removal of debris

Architectsrsquo fees

Surveyor and consulting engineerrsquos fees

Refer to your insurance company for other extensions available

How much should I cover my property for

Fire is an indemnity product You should cover based on the actual

current value of the property at the time of cover

The sum covered should cover the cost of rebuilding your property If

your property is under financing you should make sure that your

financier has taken adequate coverage

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 26: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

26

HOUSEOWNER ANDOR HOUSEHOLD INSURANCE

I already have a basic fire product Do I still have to buy houseowner

andor householder

If you are already satisfied with the basic fire policy then you donrsquot

necessarily have to buy the houseowner andor householder policy

But if you decided on a houseowner and householder policy because it

has wider coverage that includes for loss or damages caused by storms

floods or burglary cover and you are currently having a fire policy you

are also allowed to cancel your fire product

If I owned a house which product should I buy

Houseowner and householder

If I rent a house which product should I buy

Householder

If I move from my rented house what would happen to my

householder policy

To continue your householder product you must inform your insurance

company before moving so that they can advise you whether they agree

to continue cover in the new address location

If yes they will endorse the plan with the new address and advise

you the additional premium payable if any

If no then you have to cancel the existing policy and buy a new

policy for the new address location

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 27: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

27

MAKING A FIRE CLAIM

How do I file a fire insurance claim

Note Do NOT dispose of andor repair the damaged property of which

you intend to claim unless you have consent from your insurance

company or the loss adjuster

If I stay in a hotel during the investigation of fire insurance claim will

the cost of staying be covered in my fire insurance policy

No unless you have paid additional premiums to extend your policy to

provide this feature

Can I get my preferred contractor to carry out the repairs

Yes provided written consent is obtained from insurance company prior

to you choosing your preferred contractor

No

tify

yo

ur

in

sura

nce

co

mp

any

Notify your insurance

company within the time

stipulated in your policy

Sub

mit

yo

ur

clai

m

Submit your claim with all

supporting documents to

your insurance company

Ass

essi

ng

you

r cl

aim Cooperate fully

with the adjusters investigators

appointed by your insurance

company to assess your claim

Supporting Documents a) A completed claim form b) Original copy of Takaful

certificate c) Copy of IC of participant d) Fire brigade report e) Police report if theft occurred

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 28: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

28

The Basics of Workmenrsquos Compensation Insurance

What is Workmenrsquos Compensation

The Workmenrsquos Compensation Act

(Chapter 74) provides for the payment of

compensation to workmen who have an

injury as a result of an accident arising out

of and in the course of their employment

Compensation is also payable to workman

who is disabled as a result of contacting

diseases arising out of and in the course

of employment

Who needs to have Workmenrsquos Compensation

According to the Workmenrsquos Compensation Act manual workers or

workers earning less than BND 750 monthly salary are required to have

workmenrsquos compensation This would include construction workers and

domestic helpers such as gardeners drivers and housemaids

Who is responsible for providing Workmenrsquos Compensation

All employers are required to provide workmenrsquos compensation for

their workers who fall within the category of workmen

Why is it important to have Workmen Compensation

Besides from being mandatory by law it is to provide protection to both

the employer and employee The employer is legally liable for the

employeersquos injury and illness related to the job and costs of medical

treatment can be covered by the insurance company

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 29: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

29

What kinds of injuries are insured

Any injury by accident arising out of and in the course of his

employment during working hours resulting in death or permanent

disability

These would also include

where the workman is a passenger of a vehicle ship or aircraft

travelling to or from his place of work

where the workman is injured or dies occurring in Brunei

Darussalam

What injuries are not covered

Any injury NOT arising out of and in the course of his employment

These would also include

Sickness (ie stroke heart attack cancer etc)

Any injuries resulting from personal activities (ie fell down in a

shopping mall during a shopping trip had a motor accident whilst

going to a private functionparty and etc)

An injury arises from where the worker was under the influence of

alcohol or a drug

Any disability or death resulting from a deliberate self-injury or the

deliberate aggravation of an accidental injury and

Any disability or death resulting from personal injury which was not

disclosed to the employer

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 30: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

30

What are the exclusions under workmenrsquos compensation

Exclusions include

War

Mutiny strike riot civil commotion

Terrorism

Employees of sub-contractors

Any employee who is not a ldquoworkmanrdquo within the meaning of the

Workmenrsquos Compensation Act

EMPLOYERrsquoS RESPONSIBILITIES

As an employer what will happen if I fail to participate workmenrsquos

compensation

If your employee is involved in an accident with no workmenrsquos coverage

you may be subject to a fine and penalty under the Workmenrsquos

Compensation Act

What is my responsibility in the event my employee suffers an injury

caused by a work-related accident

As an employer you are responsible to ensure the safety of your

employees and to carry out measures that prevent accidents or diseases

as required by law In the event of work-related accidents you are

responsible for

arranging medical assistance for the injured worker

reporting the accident to the Labour Department and

filing a claim with your insurance company

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 31: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

31

MAKING A WORKMENrsquoS COMPENSATION CLAIM

Who is responsible for filing a claim

Any claim for compensation under the Workmenrsquos Compensation Act

must be reported to the employer and also to the Labour Department

The employer must also report the accident to his insurance provider if

he is making a claim under the product

In general an accident which causes an injury or illness must be

reported to the employer within 7 days after it happened The employer

must then report the accident to the Labour Department within 10 days

after the accident

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 32: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

32

The following workflow shows the claims process Refer to your

insurance provider for clarification

Note Depending on the employerrsquos Human Resource policy payment for medical treatment and other related expenses may be borne by the employee or employer first In this case an official receipt must be provided to the Takaful operator for reimbursement The compensation amount is based on Labour Departmentrsquos assessment

EMPLOYEEInform supervisor employer immediately about the injury

Seek medical treatment if necessary

EMPLOYER

Inform Labour Dept about employees injury Complete Form A (Notice of Accident to Commissioner) and provide

supporting documents

LABOUR DEPT

Assess injuries and issue claim letter to employer

EMPLOYERComplete the insurance claim form and provide supporting documents including Claim Letter from Labour Dept to

insurance company

INSURANCE COMPANY

Process claim payment and prepare cheque for

employers collection

EMPLOYER

Collect the cheque from insurance and forward the

cheque to Labour Department

LABOUR DEPT

Labour Dept will invite employer and employee to

handover the payment

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 33: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

33

Who receives the claim payment

For medical expenses that have been paid first by the employer the

claim payment will go to the employer

For Total Permanent Disability claims the claim payment will go to

the employee

In the event of a death the claim payment will go to the employeersquos

dependent(s)

I AM AN EMPLOYEE (WORKMAN) WHAT DO I DO

As an employee what kind of benefits will I receive from the insurance

policy

Subject to the Labour Departmentrsquos assessment

For Total Permanent Disability the amount of compensation shall

be a lump sum equal to 60 monthsrsquo earnings or BND 36000

whichever is lower subject to a minimum of BND 9600

In the event of death your dependent will receive compensation in

a lump sum amount equal to 48 monthsrsquo earnings or BND 28800

whichever is lower

In addition depending on your insurance policy other benefits may

include

Temporary disability benefits if your injury does not allow you to

work for 3 days or more

Compensation for other forms of injuries and disablement

Reimbursement of medical expenses

What is the first step I should take if I am injured while at work

Notify your employer and seek medical assistance from a Brunei

registered medical practitioner

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 34: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

34

If the injury is work-related how do I file a claim

It is the responsibility of your employer to file a claim You are required

to report the injury to your employer within a stipulated timeframe

Your employer must file the necessary paperwork to process your claim

Refer to the ldquoMaking a Workmenrsquos Compensation Claimrdquo section above

What should I do if my claim is delayed

You should follow up with your employer and the Labour Department

You may also follow up with the insurance company on the status of

your claim

Who are allowed to be my dependents in the event of death

Dependents are family members who are wholly or partly dependent on

your income at the time of death This includes your spouse child

parents or grandparents

IF YOU REQUIRE MEDICAL TREATMENT

Where do I go for medical treatment

You must refer to your employer for the

list of Brunei registered medical

practitioner or approved hospitals

Can my supervisor authorise medical

treatment

Yes if your supervisor is approved to do so by your employer

Who is responsible for my medical treatment expenses

Depending on your employment contract payment for medical

treatment and other related expenses may be borne by you or your

employer Your employer will be responsible for claiming

reimbursement for your medical treatment

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 35: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

35

Who do I contact if I want to change doctors obtain a copy of my

medical report or talk about my medical care or about medical bills

Irsquove received (related to my workerrsquos compensation treatment)

You will need to check with your employer and the insurance company

GOOD TO KNOWhellip

Can I get 24-hour coverage for my foreign workers

Yes Some insurance companies may offer 24-hour coverage through a

comprehensive workmenrsquos compensation package or endorse personal

accident to your basic workmenrsquos compensation Please check with your

insurance company if they offer this coverage

If my employee dies from a work-related injury who is responsible for

paying the funeral expenses If the employee is a foreigner who is

responsible for the repatriation expenses

You must refer to your policy to check whether it covers funeral

expenses and or repatriation expenses If it is covered then your

insurance company will be responsible for those expenses If it is not

covered then these expenses may be borne by the employer

Where do I report if I suspect fraudulent activity in a workmenrsquos

compensation claim

If you suspect that there is fraud you must report to the Labour

Department and your insurance company immediately You may be

advised to report the matter to the Police

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 36: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

36

The Basics of Travel Insurance

What is travel insurance

Travel insurance is an insurance plan that is intended to cover the

insured for travel related losses incurred whilst travelling abroad

Do you really need a travel insurance coverage Is it really worth it

It depends on individual preference and the type of coverage they are

looking for One of the coverage in travel insurance is reimbursement of

medical expenses Travel insurance is important if you want to make

sure yoursquoll be able to afford medical care when yoursquore abroad

What are the common coverages by travel Takaful

Baggage and personal effects

Baggage delayed

Hospital allowance

Loss of deposit or cancellation

Personal liability

Personal accident

Travel delay

Trip cancellation

Medical dental and other expenses Trip curtailment

Note

Different insurance companies may have different coverage for travel

insurance plan You may want to refer to the insurance companies to

find out more

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 37: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

37

Understanding terms of travel insurance coverage

Coverage terms Descriptions

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

Hospital allowance Provide hospital allowance for a specified

amount per day for each complete day

hospitalized Maximum amount of claims

applies as determined in the insurance policy

Loss of deposit or

cancellation

This section is effective immediately upon the

issuance of policy and terminates on

commencement of the planned trip from

Brunei

This cover will reimburse you up to the limit as

specified in the schedule for the loss of

irrecoverable deposits or charges paid in

advance or contracted to be paid for your

benefit in respect of travelling expenses only

in the event of necessary and unavoidable

cancellation of the planned trip by you

occurring after this insurance has been

effected due to unexpected death or serious

injury or illness in the family unexpected

outbreak of strike or riot at the planned

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 38: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

38

destination serious damage to your principal

residence from fire or flood

Medical and other

expenses

Covers medical hospital treatment and other

expenses incurred overseas as a result of

illness or accident Maximum amount of

claims applies as determined in the insurance

policy

Personal accidents Cover accidental death or loss of one or both

eyes limbs hand or feet including permanent

total disablement

Personal liability Cover legal liability to third parties for

property damage andor accidental bodily

injury Excluding liability arises from

ownership possessions or use of any

mechanically propelled vehicle or waterborne

craft or aircraft and any employerrsquos or

contractual liability

Travel delay A cash benefit as specified in the policy

schedule is paid to you if the departure of the

scheduled public conveyance is delayed for at

least 8 hours from the time specified in the

itinerary

Baggage and

personal effects

To reimburse you up to the maximum limit as

specified in the policy for loss of or damage to

baggage taken or purchased on the trip

Baggage delayed A cash benefit as specified in the policy

schedule is paid to you if your checked-in

baggage is certified by the carrier to have been

delayed misdirected or temporary misplaced

for at least 8 hours from the time of your

arrival at destination

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 39: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

39

What are the general exclusions

1 Pre-existing condition

2 Participation in any professional sports underwater activities

whilst engaged in hazardous adventure racing motor rallies and

competition mountaineering rock climbing hikingtrekking in

remote areas unless with licensed guides pot-holing winter

sports

3 Claims resulting from pregnancy or child-birth

4 Travelling contrary to advice of a medical practitioner

5 Claims directly or indirectly occasioned by happening through or

in consequence of treatment of mental illness psychiatric

disorders suicide attempted suicide or wilfully self-inflicted injury

or illness alcoholism or the use of drugs AIDS or ARC self-

exposure to needless peril (except in an attempt to save human

life) nuclear fission or radioactive contamination war invasion

acts of foreign enemies hostilities civil war rebellion

6 Members of the armed forces whilst on duty

7 Age over 80

8 Late arrival of the insured person at the airport for the Schedule

flight after the official check-in-time

9 Loss or expenses that have been reimbursed by or recoverable

from the carrier or any third party

10 Any loss or injury damage or legal liability suffered or sustained

directly or indirectly by an Insured Person if that Insured Person is

a terrorist a member of a terrorist organization a purveyor of

nuclear chemical or biological weapons a narcotics trafficker and

11 Any loss resulting directly and indirectly (in whole or in part) from

pandemic and epidemic

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 40: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

40

What are the available plans under travel insurance

Single journey plan and annual plan

If I am a frequent traveller which plan should I buy

Frequent travellers should buy the annual plan

Where can I get travel Takaful plan

You can go directly to any of the insurance counter or authorised agents

Can I buy travel insurance for infants and elderly people of more than

60 years old

Yes Children below 15 years old must be accompanied by

parentsguardians Maximum eligible age to buy is 80 years old

What should I do if I need medical attention during my travel and I

have travel insurance policy

In the event of a serious accident or illness requiring hospitalisation

overseas you may ask the hospital administrator to contact your insurer

by phone or fax if you need assistance

Note

You should check with your insurance company authorised agents

when buying the travel insurance if they had engaged with

international medical assistance

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 41: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

41

MAKING A TRAVEL CLAIM

How to make a claim

Common supporting documents includes

Copy of your identity card passport

Copy of Takaful certificate

Completed claim form Original payment receipts (if any)

Notify your insurance company- maximum fourteen (14) working daysfrom date of loss

Notify nearest Police Station for incidentinvolving accidental death injury claimonly

- within twenty-four (24) hours

Complete and submit a claim formprovided by your insurance companytogether with relevant supportingdocuments

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 42: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

42

What documentation do I need when filing a claim

1 Baggage delayed

bullBaggage irregularity report from airline

bullCopies of correspondence exchanged between airlines carrier andyourself on the cause of delay

bullAirline ticket and baggage tag2 Baggage lossdamage

bullPolice report (in the event of theft) letter from hotel

bullPhotograph of damage baggage

bullQuotation for repairs

bullReceipt of purchased baggage

bullBaggage irregularity report from airline

bullAirline ticket and baggage tag

bullAny relevant document that support your reason for thelossdamage

3 Personal accidents medical expenses

bullMedical hospital dental report

bullOriginal medical billsreceipts

bullDeath certificate and burialcremation permit (if death occurs)

bullPolice report

bullOriginal air ticket

bullCopy of travel itenerary

bullOriginal boarding pass

bullLetter of probate or letter of administration (in respect of deathclaim)

bullRepatriation

4 Travel delayed

bullWritten confirmation from airlinecarrierscheduled publicconveyance stating the reason and duratio of delay

bullLetter from the carrier showing compensation

bullCopy of travel itinerary

bullOriginal air ticket

bullOriginal boarding pass

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 43: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

43

5 Trip cancellation

bullTravel cancelled due to medical reasons

bullMedical certificate

bullWritten advice or diagnosis from the doctor who recommendedcancellation (at the insureds expense)

bullTravel cancelled due to unfortunate event of death injury illness of next of kin

bullDeath certificate

bullAttending doctors written advice (at the insureds expense)

bullDocument to confirm relationship of next of kin

bullAny relevant document that support your reason for cancelling

bullCopy of original itinerary

6 Trip curtailment

bullCopy of original itenerary

bullOriginal air tickets

bullOriginal boarding pass

bullOriginal transport and accomodation receiptsinvoices

bullReason for curtailment

bullIf due to your injuryillness or your travelling companion

bullMedical certificate

bullWritten advice from overseas attending doctor confirming theiradvice for you or your travelling companions return to Brunei (atinsured s expense)

bullDocument confirming relationship of next of kin

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 44: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

44

How soon will my claims be paid

Maximum two (1) week upon receipt of all necessary supporting

documentation

What exchange rate will be applicable when I make the claim

It is either

Payment by card - as per rate used in statement

Payment by cash - rate on the day the claim is submitted

Will the insurance company pay my medical bill directly under the

travel insurance plan

Payment is on reimbursement basis but if it is agreed by the hospital

payment can be made directly to the hospital

What should I do if my covered belongings are lost or damaged during

my travel

To make a claim for lost or damaged belonging you are required to

submit the following documents

bullloss report from the authority you reported the loss suchas police report letter from hotel or a propert irregularityreport from the carrier

bullyour airline tickets and original baggage tags

bullproof of ownership eg purchase receipts of lost damaged items invoices credit card statement

bulldocument stating the amount of compensation fromairlines

Lost items

bullphotograph of damage item

bullreceipt for damage item

bullrepair quotation (if any)

Damage items

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 45: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

45

GOOD TO KNOWhellip

Important points to note when buying travel insurance plan

Get the right plan

Inquire on coverage first before purchase

Conditions of places you are travelling to ndash is it covered by the

policy

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 46: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

46

Other Types of General Insurance

Besides motor fire and workmenrsquos compensation there are many other

types of general insurance available in Brunei Darussalam that may suit

your needs

Refer to your insurance company whether they offer these products

below

Takaful Plan Description

All Risks Covers all office contents and equipment against

loss or damage by any accident or misfortune not

otherwise excluded in the certificate

Covers property against loss or damage by any

accident or misfortune not otherwise excluded in

the policy

Burglary Covers your property against loss or damage by

theft upon forcible and violent entry

Contractorsrsquo

All Risks

Cover against material damage and liability to

third party in respect of construction works

Deterioration

Stock

Cover against loss of damage to stocks or good in

cold storage due to breakdown of refrigerating

machinery

Directors amp

Officers Liability

Protect the directors and officers of a company

for any claim against them for wrongful acts

acting in their capacity as directors or officers of

the company

Equipment All

Risks

Covers any moveable vehicles not used on public

roads equipment caused by or arising from

accidental collision or overturning fire external

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 47: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

47

explosion self-ignition or lightning and burglary

housebreaking or theft

Erection All Risks Similar to Contractorrsquos All Risks except this

product is designed for contract works

predominantly erection of machinery coupled

with testing

Fidelity

Guarantee

Cover against act of fraud or dishonesty

committed by employee

Fire

Consequential

Loss

Covers for the loss of profit following losses to

physical assets covered under a fire policy in the

event of a fire

Glass Cover against breakage of glass at business

premises

Golferrsquos Protect golfers against personal liabilities to a

third party and accidental bodily injury whilst

playing or practicing golf on any recognised golf

course

Liability Protect against legal liability due to accidental

bodily injury and accidental property damage to

third parties caused by or through the negligence

of the participants or their employees

Machinery

Breakdown

Covers any sudden and unforeseen breakdown

or damage to the insured machinery plant and

equipment either due to accident or failure of the

components within itself

Marine Cargo Cover against loss or damage to the buyer or

sellerrsquos goods whilst it is being transported by

sea air or land

Marine Hull Cover against loss or damage to vessel and

liability to third party

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country

Page 48: KNOWING YOUR GENERAL - AMBD · 1. General Insurance Covers property such as your car, house, business, employees, money, etc. 2. Family Insurance Covers you, your loved ones, employees,

48

Money Cover against loss of money whilst in transit and

money kept in the insuredrsquos premises

Personal

Accident

Cover against any bodily injury that results in

death or permanent disablement due to accident

(external and visible means)

Product Liability Protects the insured in the event of any claim

brought against him for anything harmful or

defective in the products or packaging sold or

supplied by the participating connection with the

business

Professional

Indemnity

Covers the insured for breach of professional

duty by reason of any negligent act error or

omission committed or alleged to have been

committed

Travel Cover against unexpected misfortune or

suffering and inconveniences when travelling in a

foreign country