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File: Personal Accident Supreme Brochure Eng
personal accident protection ii 10 000 000 5 000 000 1 000 000 5 000 000 2 200 0002 750 0003 300 000 1 000 000 000 1 250 000 ...

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                                                                                                                                                                             Personal Accident Protection
II
10,000,000 5,000,000 1,000,000 5,000,000 2,200,0002,750,0003,300,000
1,000,000,000 1,250,000,000 1,250,000,000 200,000,000 Branch Network                                                                                                      PERSONAL
HH
10,000,000 5,000,000 1,000,000 5,000,000 1,100,0001,375,0001,650,000Jakarta Serpong                     Surabaya
500,000,000 625,000,000 625,000,000 100,000,000 
           Maspion Plaza 8th Floor                        Sutera Niaga 3 Blok C No. 11                  Gedung Medan Pemuda 7th Floor                                     ACCIDENT 
           Jalan Gunung Sahari Raya Kav. 18               Jalan Raya Serpong                            Jalan Pemuda No. 27 - 31
           Jakarta 14420                                  Tangerang 15325                               Surabaya 60271
GG875,000  Tel  : +62 21 64701278                         Tel : +62 21 53122468                         Tel  : +62 31 5477300
80,000,000 10,000,000 5,000,0001,000,000 5,000,000 1,100,0001,325,000Fax  : +62 21 64701267/8Fax  : +62 21 53122431 Fax  : +62 31 5477370
400,000,000 500,000,000 500,000,000                                                                                                                                       SUPREME 
           Semarang                                       Cirebon                                       Samarinda
           Ruko Metro Plaza Blok B-12                     Komplek Ruko Pulasaren                        Jalan Jenderal Ahmad Yani No. 12
FF670,000825,000990,000Jalan MT Haryono 970               Jalan Pulasaren Raya No. C-5                  Samarinda 75117
60,000,000 10,000,000 5,000,000 1,000,000 5,000,000 Semarang 50242Cirebon 45116                         Tel  : +62 541 200833                                             INSURANCE
300,000,000 375,000,000 375,000,000 Tel  : +62 24 8457058/9Tel : +62 231 207784, 234054                 Fax  : +62 541 748878                                              Personal accident insurance that protects 
ding, a copy of Fax  : +62 24 8417867                     Fax  : +62 231 207784
.                                                                                                                                                                          you against unexpected accidents
EE440,000550,000660,000Medan                              Pekanbaru                                     Batam
40,000,000 10,000,000 5,000,000 1,000,000 5,000,000 okerKompleks Ruko Jati JunctionJalan KH. Hasyim Ashari 16 Ruko Orchard Park Blok B No. 9
200,000,000 250,000,000 250,000,000 Jalan Timor No. 3 - T Pekanbaru 28113                               Jalan Orchard Boulevard, Belian
           Medan 20234                                    Tel : +62 761 32708                           Batam 29444
           Tel   : +62 61 88817009                        Fax  : +62 761 31427                          Tel  : +62 778 4167700, 4166700
DD         Fax  : +62 61 88817010                                                                       Fax : +62 778 4165700
5,000,000 5,000,000 1,000,000 5,000,000 220,000275,000330,000
100,000,000 125,000,000 125,000,000 20,000,000 Makassar   Bali
           Jalan Jenderal Ahmad Yani                      Jalan Jaya Giri Nomor 9 B Renon,
           Komplek Ruko A. Yani No. 23/25                 Dangin Puri Kelod, Denpasar
CC         Blok C 46, Makassar 90174                      Timur, Denpasar 80234
2,500,000 2,500,000 1,000,000 2,500,000 110,000137,500165,000Tel  : +62 411 3617978Tel : +62 361 229894
50,000,000 62,500,000 62,500,000 10,000,000 Fax  : +62 411 3610434Fax : +62 361 255150
BB55,00068,75082,500n General Insurance Indonesia, your agent or br
25,000,000 31,250,000 31,250,000 5,000,000 1,250,000 1,250,000 1,000,000 1,250,000 
eat Easter
A500,000500,000A22,00027,50033,000ein is subject to the terms, conditions and exclusions of the policy wor
10,000,000 12,500,000 12,500,000 2,000,000 1,000,000 1,000,000 PT Great Eastern General Insurance Indonesia
om PT Gr   MidPlaza 2, 23rd Floor, Jalan Jenderal Sudirman Kav. 10-11
           Jakarta 10220, Indonesia
native     Tel      :  +62-21 5723737
           Fax    :  +62-21 5710547
           Email  :  wecare-id@greateasterngeneral.com
           www. greateasterngeneral.com/id
able of benefitsotal Permanent eatment (sinshe)Cost of AmbulanceDeath Certificate Handling CostsFuneral CostsANNUAL PREMIUMClass 1Class 2Class 3
TPLANDeathTDisablementPartial Permanent DisablementAccidental Medical ExpensesEXTRA COVERCost of altertrImportant notice:The information contained herwhich can be obtained frPT Great Eastern General Insurance Indonesia is registered and supervised by the Financial Services Authority (OJK)
        Personal Accident Supreme Insurance                                                                                   Classification                                                                                                        Table of
                                                                                                                              for Insured Person                                                                                                    compensation
        Accidents can impact both your physical and your 
        financial health. With Personal Accident Supreme,                                                                     Class 1:                                                                                                                                                                                                       BENEFITS
                                                                                                                              Work in the office, accountants, architects, auditors, doctors, lawyers, secretaries, teachers,                                                         RESULT                                       (% OF THE CAPITAL
        you will have peace of mind knowing you are                                                                           housewives, etc.                                                                                                                                                                                          SUM INSURED)
                                                                                                                              Class 2:                                                                                                               A     DEATH                                                                                  100%
        protected. Safeguarding your well-being is our                                                                        Field workers, civil engineers, project managers, sales personnel, drivers, merchants Retail, etc.                     B     TOTAL PERMANENT DISABLEMENT
                                                                                                                                                                                                                                                           1.    loss of sight of both eyes                                                       125%
        business.                                                                                                             Class 3:                                                                                                                     2.    loss or malfunction of both arms                                                 125%
                                                                                                                              Operator of heavy machinery, workshop, Mine worker, builders, electrical workers, manual                                     3.    loss or malfunction of both legs                                                 125%
                                                                                                                              workers, etc.                                                                                                                4.    loss or malfunction of sight of one eye and one arm; sight                       125%
        Personal Accident Supreme offers you protection                                                                                                                                                                                                          of one eye and one leg; or one leg and one arm
        against any unexpected accidents. This insurance                                                                      What you need to do?                                                                                                         5.    insanity or total paralysis                                                      125%
                                                                                                                                                                                                                                                           PARTIAL PERMANENT DISABLEMENT
        is applicable to both individuals and businesses.                                                                    Just three simple steps and you can enjoy peace of mind.                                                                      6.    Right arm from shoulder joint                                                     75%
                                                                                                                              Step 1: Apply                                        What should you do in the event of a claim?                             7.    Left arm from shoulder joint                                                      63%
                                                                                                                                                                                                                                                           8.    Right arm from upper elbow joint                                                  63%
                                                                                                                              • Approach an authorised Great Eastern               • All claims must be made to                                            9.    Left arm from upper elbow joint                                                   50%
                                                                                                                                agent/broker and discuss your requirements,          PT Great Eastern General Insurance                                    10.   Right hand from upper wrist                                                       50%
                                                                                                                                then select the plan that best meets your            Indonesia immediately upon the occurrence                             11.   Left hand from upper wrist                                                        38%
        Benefits at a glance                                 Cover                                                              needs.                                               of the claim
                                                                                                                              • Fill out the proposal form and decide on the       • Doctor’s reports or certificates and hospital                         12.   One leg from knee to hip                                                          63%
        • No medical examination is required                 1. Death, Total Permanent Disablement,                             mode of payment most convenient to you.              bills are required to support the claim                               13.   One leg from ankle to knee                                                        31%
        • Coverage up to IDR 1,000,000,000                      Partial Permanent Disablement and                                                                                  • Retain all bills, invoices and receipts                               14.   Right thumb                                                                       19%
            available                                           Medical Expenses due to an accident                           Step 2: Understand the coverages in your 
        • 125% compensation for Total Permanent              2. Riots, Strikes and Civil Commotions                           Policy                                                                                                                       15.   Left thumb                                                                        13%
            Disablement and Partial Permanent                3. Murder and Molestation                                                                                                                                                                     16.   Right index finger                                                                13%
            Disablement                                                                                                       • Upon receiving your Policy, read through the                                                                               17.   Left index finger                                                                 10%
                                                             4. Missing                                                         policy wording, and ensure that your needs
        • Accidental medical expenses limit is 20%           5. Motorcycling risk                                               are correctly and sufficiently met.                                                                                        18.   Right little finger                                                               10%
        • Higher sub-limit for chinese physician/            6. Sports Activity (non-professional)                            • Call your agent/broker immediately for             To report a claim or to obtain a claim form,                            19.   Left little finger                                                                 8%
            chiropractic treatment                                                                                              clarifications should you be unclear of any        please contact your insurance advisor or                                20.   Right middle finger                                                                6%
        • Excess free                                                                                                           wording.                                           the Great Eastern Indonesia Claims                                      21.   Left middle finger                                                                 5%
        • Free cover for driving a motorcycle and            Extra Cover                                                      Step 3: Check your Policy                            Department at  +6221 572 3737, email at                                 22.   One big toe                                                                       10%
            sport activity (non-profesional)                 1. Higher sub-limit for  chinese  physician /                                                                         wecare-id@greateasterngeneral.com                                       23.   One other toe                                                                      6%
                                                                chiropractic treatment                                        • Ensure that all details and information are in     or visit our website at  
        • 24-hour worldwide cover                                                                                               order                                              www.greateasterngeneral.com/id                                          24.   Incurable blindness in one eye                                                    63%
                                                             2. Ambulance Expenses                                                                                                                                                                         25.   Incurable deaf in both ears                                                       63%
                                                             3. Certificate of Death Expenses                                                                                                                                                              26.   Incurable deaf in one ear                                                         31%
                                                             4. Funeral Expenses Subsidy                                      You can give your feedback, suggestions and complaints by contacting us at +62 21 5723737,                                   27.   Ear-side                                                                           6%
                                                                                                                              email at wecare-id@greateasterngeneral.com and WhatsApp at +62 819 1572 3737
                                                                                                                                                                                                                                                     C     MEDICAL EXPENSES                                                                        20%
                                                                                                                                                                                                                                                                                                                                                                    Personal Accident Protection
                                                                                                                                  I                                                            I
                                                                                                                                                                      10,000,000 5,000,000 1,000,000 5,000,000 2,200,0002,750,0003,300,000
Personal Accident Supreme InsuranceClassificationTable of                                                                              1,000,000,000 1,250,000,000 1,250,000,000 200,000,000                                                  Branch Network
for Insured Personcompensation                                                                                                                                                                                                                                                                                                                                   PERSONAL
Accidents can impact both your physical and your                                                                                  H                                                            H
                                                                                                                                                                      10,000,000 5,000,000 1,000,000 5,000,000 1,100,0001,375,0001,650,000    Jakarta                           Serpong                           Surabaya
Class 1:                                                                                        BENEFITS                               500,000,000 625,000,000 625,000,000 100,000,000 
financial health. With Personal Accident Supreme,RESULT                               (% OF THE CAPITAL                                                                                                                                       Maspion Plaza 8th Floor           Sutera Niaga 3 Blok C No. 11      Gedung Medan Pemuda 7th Floor                  ACCIDENT
Work in the office, accountants, architects, auditors, doctors, lawyers, secretaries, teachers,                                                                                                                                               Jalan Gunung Sahari Raya Kav. 18  Jalan Raya Serpong                Jalan Pemuda No. 27 - 31
you will have peace of mind knowing you are housewives, etc.                               SUM INSURED)                                                                                                                                       Jakarta 14420                     Tangerang 15325                   Surabaya 60271
         A      DEATH                                                                               100%                          G                                                            G     875,000                                  Tel  : +62 21 64701278            Tel  : +62 21 53122468            Tel : +62 31 5477300
Class 2: B      TOTAL PERMANENT DISABLEMENT                                                                                                               80,000,000  10,000,000 5,000,0001,000,000 5,000,000 1,100,0001,325,000              Fax : +62 21 64701267/8           Fax : +62 21 53122431             Fax : +62 31 5477370
protected. Safeguarding your well-being is our                                                                                         400,000,000 500,000,000 500,000,000                                                                                                                                                                                       SUPREME
Field workers, civil engineers, project managers, sales personnel, drivers, merchants Retail, etc.1.loss of sight of both eyes125%                                                                                                            Semarang                          Cirebon                           Samarinda
business.       2.    loss or malfunction of both arms                                              125%                                                                                                                                      Ruko Metro Plaza Blok B-12        Komplek Ruko Pulasaren            Jalan Jenderal Ahmad Yani No. 12
Class 3:        3.    loss or malfunction of both legs                                              125%                          F                                                            F     670,000825,000990,000                    Jalan MT Haryono 970              Jalan Pulasaren Raya No. C-5      Samarinda 75117
                                                                                                                                                          60,000,000  10,000,000 5,000,000 1,000,000 5,000,000                                Semarang 50242                    Cirebon 45116                     Tel : +62 541 200833                           INSURANCE
Operator of heavy machinery, workshop, Mine worker, builders, electrical workers, manual4.loss or malfunction of sight of one eye and one arm; sight125%300,000,000 375,000,000 375,000,000                                                   Tel  : +62 24 8457058/9           Tel  : +62 231 207784, 234054     Fax : +62 541 748878
Personal Accident Supreme offers you protection workers, etc.of one eye and one leg; or one leg and one arm                                                                                                                                   Fax : +62 24 8417867              Fax : +62 231 207784                                                              Personal accident insurance that protects
                5.    insanity or total paralysis                                                   125%                                                                                                                                                                                                                                                          you against unexpected accidents
against any unexpected accidents. This insurance PARTIAL PERMANENT DISABLEMENT                                                    E                                                            E     440,000550,000660,000                    Medan                             Pekanbaru                         Batam
                6.    Right arm from shoulder joint                                                   75%                                                 40,000,000  10,000,000 5,000,000 1,000,000 5,000,000                                Kompleks Ruko Jati Junction       Jalan KH. Hasyim Ashari 16        Ruko Orchard Park Blok B No. 9
is applicable to both individuals and businesses.                                                                                      200,000,000 250,000,000 250,000,000                                                                    Jalan Timor No. 3 - T             Pekanbaru 28113                   Jalan Orchard Boulevard, Belian
What you need to do?7.Left arm from shoulder joint                                                    63%                                                                                                                                     Medan 20234                       Tel  : +62 761 32708              Batam 29444
                8.    Right arm from upper elbow joint                                                63%                                                                                                                                     Tel  : +62 61 88817009            Fax : +62 761 31427               Tel  : +62 778 4167700, 4166700
                9.    Left arm from upper elbow joint                                                 50%                         D                                                            D                                              Fax  : +62 61 88817010                                              Fax : +62 778 4165700
Just three simple steps and you can enjoy peace of mind.                                                                                                                                             220,000275,000330,000
                10.   Right hand from upper wrist                                                     50%                                                 20,000,000  5,000,000 5,000,000 1,000,000 5,000,000                  bit.ly/GEGIPersonalAccident
                                                                                                                                       100,000,000 125,000,000 125,000,000                                                                    Makassar                          Bali
Benefits at a glanceCoverStep 1: ApplyWhat should you do in the event of a claim?11.Left hand from upper wrist38%                                                                                                                             Jalan Jenderal Ahmad Yani         Pusat Pertokoan Sudirman Agung
                12.   One leg from knee to hip                                                        63%                                                                                                                                     Komplek Ruko A. Yani No. 23/25    Blok B12, 
• No medical examination is required1. Death, Total Permanent Disablement, • Approach an authorised Great Eastern• All claims must be made to13.One leg from ankle to knee31%C                 C                                              Blok C 46, Makassar 90174         Jalan Jenderal Sudirman
• Coverage up to IDR 1,000,000,000 Partial Permanent Disablement and agent/broker and discuss your requirements,PT Great Eastern General Insurance                    2,500,000 2,500,000 1,000,000 2,500,000 110,000137,500165,000           Tel  : +62 411 3617978            Denpasar 80225
availableMedical Expenses due to an accidentthen select the plan that best meets yourIndonesia immediately upon the occurrence14.Right thumb19%50,000,000 62,500,000 62,500,000 10,000,000                                                    Fax : +62 411 3610434             Tel  : +62 361 229894, 255149
needs.of the claim15. Left thumb                                                                      13%                                                                                                                                                                       Fax : +62 361 255150
• 125% compensation for Total Permanent 2. Riots, Strikes and Civil Commotions• Fill out the proposal form and decide on the• Doctor’s reports or certificates and hospital
Disablement and Partial Permanent 3. Murder and Molestationmode of payment most convenient to you.bills are required to support the claim16.Right index finger13%
Disablement4. Missing• Retain all bills, invoices and receipts17.Left index finger                    10%                         B                                                            B     55,00068,75082,500
• Accidental medical expenses limit is 20%Step 2: Understand the coverages in your18.Right little finger10%                            25,000,000 31,250,000 31,250,000 5,000,000 1,250,000 1,250,000 1,000,000 1,250,000 
5. Motorcycling risk
• Higher sub-limit for chinese physician/6. Sports Activity (non-professional)Policy19.Left little finger8%
chiropractic treatment• Upon receiving your Policy, read through the20.Right middle finger             6%
• Excess freepolicy wording, and ensure that your needs21.Left middle finger                           5%                         A                                   500,000500,000           A     22,00027,50033,000
• Free cover for driving a motorcycle and Extra Coverare correctly and sufficiently met.22.One big toe10%                              10,000,000 12,500,000 12,500,000 2,000,000   1,000,000 1,000,000                                       PT Great Eastern General Insurance Indonesia
sport activity (non-profesional)1. Higher sub-limit for  chinese  physician / • Call your agent/broker immediately for23.One other toe6%                                                                                                      MidPlaza 2, 23rd Floor, Jalan Jenderal Sudirman Kav. 10-11
• 24-hour worldwide coverchiropractic treatmentclarifications should you be unclear of anyTo report a claim or to obtain a claim form, 24.Incurable blindness in one eye63%                                                                   Jakarta 10220, Indonesia
2. Ambulance Expenseswording.please contact your insurance advisor or                                                                                               native                                                                    Tel    :  +62-21 5723737
the Great Eastern Indonesia Claims 25.Incurable deaf in both ears                                     63%                                                                                                                                     Fax   : +62-21 5710547
3. Certificate of Death ExpensesStep 3: Check your PolicyDepartment at  +6221 572 3737, email at 26.Incurable deaf in one ear31%                                                                                                              Email : wecare-id@greateasterngeneral.com
4. Funeral Expenses Subsidywecare-id@greateasterngeneral.com27.Ear-side                                6%                                                                                                                                     www. greateasterngeneral.com/id
• Ensure that all details and information are inor visit our website at CMEDICAL EXPENSES             20%                    able of benefitsotal Permanent            eatment (sinshe)Cost of AmbulanceDeath Certificate Handling CostsFuneral CostsANNUAL PREMIUMClass 1Class 2Class 3
orderwww.greateasterngeneral.com/id                                                                                          T    PLAN DeathT DisablementPartial Permanent DisablementAccidental Medical ExpensesEXTRA COVERCost of altertrImportant notice:The information contained herein is subject to the terms, conditions and exclusions of the policy wording, a copy of which can be obtained from PT Great Eastern General Insurance Indonesia, your agent, broker, or visit PT Great Eastern General Insurance Indonesia is registered and supervised by the Financial Services Authority (OJK)
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