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Claim

To make the claims process faster, fill in the form as accurately as possible

What happened?

Describe the event

What kind of injury has occurred?
Injury happened during:
Position related to accident at work
Related to traffic accident
What happened, how and where?
Which part of the body has been injured? If possible, add the ICD code of the diagnosis.
Describe your health condition and its progression. If possible, add the ICD code of your diagnosis.
Insert the medical institution and the name of the doctor who is aware of the insured person's health in relation to the accident.
Insert the medical institution and the name of the doctor who is aware of the insured person's health in relation to the illness.
Were you on sick leave after the accident?
Sick leave is a certificate of incapacity for work issued by a health professional which exempts a person from fulfilling work and service obligations.
Were you on sick leave due to the illness?
Sick leave is a certificate of incapacity for work issued by a health professional which exempts a person from fulfilling work and service obligations.
Presumed duration of sick leave
Accidental daily allowance is paid from the first day of the sick leave, provided that the sick leave lasts at least 14 days. Loan protection insurance temporary disability cover is paid from the 31st day of the sick leave.

 Loan protection insurance temporary disability cover is paid from the 31st day of the sick leave.

Is the sick leave expected to last over 30 days?

Insured person information

Does the insured person have a job?

Insured person information

Contact information

Beneficiary information

Reimbursement

Beneficiary (policy holder or insured person)

1. By submitting this claim, I consent to forwarding my personal and health data to the insurer SEB Life and Pension Baltic SE Estonian branch, who is the controller of this data.

2. I have acknowledged my data is used with the purpose to: 
-    find out more details about the claim from the State Authorities, and other health care institutions
-    obtain data related to the insured event from law enforcement authorities
-    fulfil insurer obligations with its reinsurer 
-    fulfil insurer‘s obligations provided in Insurance law. 

3. I have access to information about personal data processing and my rights in the SEB Privacy Policy, available at seb.ee.

4. I certify that the data provided is correct and accurate.

 

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