All About Making a Claim

Quick and easy claims process to get your life back on track.

How To Make A Claim

Check your policy as step 1 of Gibraltar BSN's quick and easy claims processCheck your payment records as step 2 of Gibraltar BSN's quick and easy claims process
Step 1: Check Your Policy

Determine if you are covered for the event for which you intend to make a claim.

Check your payment records as step 2 of Gibraltar BSN's quick and easy claims process
Step 2: Check Your Payments Records

When was the last payment made? Make sure that the policy is still in force.

Check in with Gibraltar BSN as step 3 of Gibraltar BSN's quick and easy claims process
Step 3: Check In with Us

Notify us immediately – head over to the nearest Gibraltar BSN branch for assistance.

Upon verification of your policy details and claim entitlement, we'll provide you with the necessary claim form(s) to be completed, along with information on the supporting documents we'll need from you in order to consider your claim.

If you need help going through the steps above, please don't hesitate to ask. Just call our Customer Service helpline at 1 300 22 6262 (Local) for assistance.

Beneficiary(ies) of the deceased policyholders who are searching for unclaimed life insurance proceeds can check with Life Insurance Association of Malaysia.

Help Us to Speed Up Your Claim

Follow these tips before dropping by so that we have all the information needed to assess your claim straight away.

Submit your notice of claim as step 1 of Gibraltar BSN 's tips to speed up their insurance claim process
Step 1 : Submit Your Notice of Claim

Complete this Notice of Claim form and send it back to us immediately / within the prescribed time as written on your policy.

Complete you claim form(s) as step 2 of Gibraltar BSN 's tips to speed up their insurance claim process
Step 2 : Complete Your Claim Form(s)

From the listing below, click on the type of claim relevant to you to download the right claim form(s). Print them out and fill them in.

Prepare supporting documents as step 3 of Gibraltar BSN 's tips to speed up their insurance claim process
Step 3 : Prepare Supporting Documents

You’ll also find a list of documents that you should provide us when making a claim. Make sure to bring original / certified copies.

Bear in mind that doing this is entirely optional – don’t worry if you don’t have your form(s) or documents ready before you come by. We’ll go through the entire process with you.

Types of Claim

Pay & File

Claim Form(s)

Hospitalisation & Surgical Claim Form

Part I: To be completed by the claimant
Gibraltar BSN Hospital & Surgical Claim Form Part I: To be completed by the claimant
Part II: To be completed by the Life Assured's attending physician
Gibraltar BSN Hospital & Surgical Claim Form Part II: To be completed by the Life Assured's attending physician

Clinical Abstract Application Form

Please provide three (3) copies, in English or Bahasa Malaysia
Gibraltar BSN Clinical Abstract Application Form: Please provide three (3) copies, in English or Bahasa Malaysia

Cashless

  1. For cashless treatment, the Life Assured must be admitted to one of our Panel Hospitals.
  2. Please note that all cashless payments will be managed by a third-party administrator.

Required Documents

  • Original copies of:
    • Medical bill(s) and receipt(s)
  • Certified true copies of:
    • Itemised bills
    • Test result(s) available
    • Discharged note(s)
    • Bank statements / bank book details (for auto credit verification
  • Photocopies of:
    • Copy of Life Assured’s NRIC/ birth certificate or passport for foreigner
    • Copy of Policyowner’s NRIC or passport for foreigner

Kindly note that the submission requirements above should be used as basic points-of-reference only. We reserve the right to request for other relevant documents and information.

Form(s)

Critical Illness Claim Form
Gibraltar BSN Critical Illness Claim Form
 
Clinical Abstract Application Form
Gibraltar BSN Clinical Abstract Application Form
 
Group Claim: Claimant Statement (Bank Officer or Authorised Personnel)​
GIbraltar BSN Group Claim: Claimant Statement (Bank Officer or Authorised Personnel)​

Required Documents

  • Original copies of:
    • Confidential Medical Certificate (by disease type)
    • Policy contract (if available)
  • Certified true copies of:
    • Blood test, ECG and/or radiology reports, Histopathological report
    • Bank statements / bank book details (for auto credit verification)
    • Discharged note(s)
    • Other relevant medical evidence
  • Photocopies of:
    • Copy of Life Assured’s NRIC/ birth certificate or passport for foreigner
    • Copy of Policyowner’s NRIC or passport for foreigner

Kindly note that the submission requirements above should be used as basic points-of-reference only. We reserve the right to request for other relevant documents and information.

Claim Forms

Hospital & Surgical Benefit

Part I: To be completed by the claimant
GIbraltar BSN Hospital & Surgical Benefit Part I: To be completed by the claimant
Part II: To be completed by the Life Assured's attending physician
GIbraltar BSN Hospital & Surgical Benefit Part II: To be completed by the Life Assured's attending physician

Clinical Abstract Application Form

Please provide three (3) copies, in English or Bahasa Malaysia
Gibraltar BSN Clinical Abstract Application Form: Please provide three (3) copies, in English or Bahasa Malaysia

Required Documents

  • Certified true copies of:
    • Discharge note(s)
    • Test result(s) available
    • Medical bill(s) and receipt(s)
    • Bank statements/bank book details (for auto credit verification)
  • Photocopies of:
    • Copy of Life Assured’s NRIC/ birth certificate or passport for foreigner 
    • Copy of Policyowner’s NRIC or passport for foreigner

Kindly note that the submission requirements above should be used as basic points-of-reference only. We reserve the right to request for other relevant documents and information.

Claim Form(s)

Total and Permanent Disability Claim

Part I: To be completed by the claimant
GIbraltar BSN Total and Permanent Disability Claim Part I: To be completed by the claimant
Part II: To be completed by the Life Assured’s attending physician
Gibraltar BSN Total and Permanent Disability Claim Part II: To be completed by the Life Assured's attending physician

Clinical Abstract Application Form

Please provide three (3) copies, in English or Bahasa Malaysia
Gibraltar BSN Clinical Abstract Application Form: Please provide three (3) copies, in English or Bahasa Malaysia
Group Claim: Claimant Statement (Bank Officer or Authorised Personnel)
Gibraltar BSN Group Claim: Claimant Statement (Bank Officer or Authorised Personnel)

Required Documents

  • Original copies of:
    • Policy contract (if available)
  • Certified true copies of:
    • Blood test, and all radiology reports
    • Bank statements/bank book details (for auto credit verification)
  • Photocopies of:
    • Medical bill(s) and receipt(s)
    • Letter and medical report from Socso
    • Medically boarded out letter from employer
    • Copy of Life Assured’s NRIC/ birth certificate or passport for foreigner 
    • Copy of Policyowner’s NRIC or passport for foreigner
  • Additional document for Accidental Total and Permanent Disability Benefit
    • Certified True Copy: 
      • Police Report
      • Third-Party Police Report
      • Final Investigation Police Report
      • News article on the accident (if available, in any language) 

Kindly note that the submission requirements above should be used as basic points-of-reference only. We reserve the right to request for other relevant documents and information.

Claim Form 

Accident Indemnity

Part I: To be completed by the claimant
Gibraltar BSN Accident Indemnity Part 1: To be completed by the claimant
Part II: To be completed by the Life Assured's attending physician
Gibraltar BSN Accident Indemnity Part 2: To be completed by Life Assured's attending physician

Clinical Abstract Application Form

Please provide three (3) copies, in English or Bahasa Malaysia
Gibraltar BSN Clinical Abstract Application Form: Please provide three (3) copies, in English or Bahasa Malaysia

Required Documents

  • Original copies of:
    • Medical certificate(s)
    • Medical bill(s) and receipt(s) - for medical expenses purpose
  • Certified true copies of:
    • Bank statements/bank book details (for auto credit verification)
    • Police Report
    • Test result(s) and radiology report(s) available
  • Photocopies of:
    • Copy of Life Assured’s NRIC/ birth certificate or passport for foreigner
    • Copy of Policyowner’s NRIC or passport for foreigner

Kindly note that the submission requirements above should be used as basic points-of-reference only. We reserve the right to request for other relevant documents and information.

Death Claim Form

Part 1: To be completed by the claimant
Gibraltar BSN Death Claim Form Part 1: To be completed by the claimant
Part 2: To be completed by the Life Assured's medical attendant.
Gibraltar BSN Death Claim Form Part 2: To be completed by the Life Assured's medical attendant

Clinical Abstract Application Form

Please provide three (3) copies, in English or Bahasa Malaysia.
Gibraltar BSN Clinical Abstract Application Form: Please provide three (3) copies, in English or Bahasa Malaysia
Group Claim: Claimant Statement (Bank Officer or Authorised Personnel)
Gibraltar BSN Group Claim: Claimant Statement (Bank Officer or Authorised Personnel)

Required Documents

  • Original copies of:
    • Policy Contract/ Deed of assignment (if available)
  • Certified true copies of:
    • Death certificate
    • Burial Permit or Police Report (for Cause of Death classified as 'Unknown' or Death certified by Police)
    • Letter from JPN (for Death Outside Malaysia)
    • MRTA (Mortgage Reducing Term Assurance) certificate
    • Claimant / Nominee’s NRIC/ Birth Certificate/ Passport
    • Proof of relationship, i.e. marriage certificate (spouse), birth certificate (child / deceased)
    • Bank statements/bank book details (for auto credit verification)
    • Letters of Administration / Grant of Probate / Form E or F under Small Estates (Distributions) Act 1955 / Court Order
  • Photocopies of:
    • Copy of deceased’s NRIC/ birth certificate or passport for foreigner (if the age has not admitted)
  • Additional document for Accidental Death Benefits:
    • Certified True Copy:
      • Police Report
      • Third-Party Police Report
      • Final Investigation Police Report
      • Post Mortem / Autopsy Report
      • Toxicology Report
      • News article on the accident (if available, in any language)

Kindly note that the submission requirements above should be used as basic points-of-reference only. We reserve the right to request for other relevant documents and information.