Claims / WIBA
Claims Process
• Report the incident to Einsurance immediately through 0743129426
• Complete and return a claim form obtainable from our office or website.
• Attach doctor’s prescription and medical bills receipts
• Attach form WIBA 1 & 4 obtained from labour office
• Attach a police abstract if it was a road traffic accident or assault
• Attach copy of death certificate if the accident was fatal
• Attach copies of pay slips for the previous three months before the accident if the cover is arranged on salary basis
Required Documents
• Duly Filled Claim Form
• Forms LD 104, 105,180
• Agreement between the employer and employee
• Pay slip for 3 months prior to the accident
• Police Abstract
• Death certificate where applicable
• Original medical expenses receipts
File a Claim
Please upload the duly filled form together with all required documents as stipulated under the Claims process section
