Claim notice

What happened?

Accident

Illness

Death

Unemployment

What happened?

Accident at work

Incident involving a child

Traffic accident

Domestic accident

Sports accident

Other

Position

Position related to accident at work

Police station and the name of the investigator

Related to traffic accident

Time of the accident

Place of the accident

Description of the accident

Please describe

Short description of the injuries and diagnosis

Please describe

When was illness diagnosed?

Description of the condition

Please describe your health condition and its progression.

Diagnosis

Please describe the damage to your health. If possible, please add the ICD code of your diagnosis

Were you on sick leave after the incident?

Yes

Please remember that the temporary disability cover of the loan protection insurance will be paid if the sick leave is longer than 30 days

Is the sick leave expected to last over 30 days?

Yes

Presumed duration of sick leave

Less than 14 days

At least 14 days

Over 30 days

Please note that the daily allowance is paid only if the temporary disability lasts at least 14 days and the temporary disability cover of the loan protection insurance is paid when sick leave lasts more than 30 days

When did you seek medical help? If not immediately, please state the reasons

The doctor and the medical institution holding your medical records

Person involved in the incident

Name, surname

Personal identification code of the insured person

Personal identification code

Does the insured person have a job?

Yes

Bank account number of the policyholder or insured person

Please enter the account number

Name of the beneficiary

Name and surname of the insured person

The name and surname of the insured person

Date of death

Your name and surname

Your email

Personal identification code

Date of the last working day

The reason for terminating the employment contract and clause based on which it was done

Contact email

By submitting this claim, I confirm the accuracy and completeness of the information. I am aware that the Estonian branch of SEB Life & Pension Baltic SE processes the data received in this application and during loss adjustment according to the principles described in SEB’s General Principles for Processing Personal Data. SEB’s General Principles for Processing Personal Data can be accessed here:

General principles for processing personal data

Claim notice

Person involved in the incident

What do we use cookies for?