"Compensa Life Vienna Insurance Group SE" Lithuanian branch payment procedure for insurance benefits

"Compensa Life Vienna Insurance Group SE" Lithuanian branch payment procedure for insurance benefits 

What to do to receive an insurance payout? 

There are two main actions you need to take to receive an insurance payout in the event of an insured incident under your life insurance policy or to reimburse health insurance expenses under the employee health insurance contract:

• Notify about the insured event by filling out the necessary applications.
• Submit the required documents.
  
  

How to notify about the insured event? 

For life insurance clients 

We recommend notifying about the insured event through the E-life online self-service system, where you can conveniently fill out and send the required applications for the insurance payout at any time of the day, along with the necessary documents.

You can also notify about the insured event via email at info@compensalife.lt, by calling the short number 19111, or by visiting the nearest „Compensa Life“ office convenient for you.

For health insurance clients

The three most convenient ways to submit a request for expense reimbursement are:

• „Compensa Life Lithuania" Mobile Application
  Detailed information about the app’s advantages, how to download, and use it is provided here. The app can be used by insured individuals who have Smart ID, a mobile signature, as well as clients of „Swedbank“, „SEB“, and „Luminor“ banks who have other login methods. After submitting a request through the mobile app, you will be able to track the status of your submitted requests.

• Electronic Application Form in the E-health Online Self-Service System
  Clients of „Swedbank“, „SEB“, and „Luminor“ banks can submit their requests using access through the electronic banking system. Mobile network operator clients can submit their requests using their mobile signature. By choosing this method of login, you will have the opportunity to submit your health insurance payout request more quickly and conveniently. Once logged into the system, the fields related to the insured person will be automatically filled in. If you are filling out a request for the first time, you will not need to fill them in manually. The system will automatically calculate the total amount of the submitted receipts. After submitting the request, you will receive a confirmation email regarding the registration of your submitted request in the system.

• Submitting a Request Without Logging in to the Electronic Banking System
  Clients of other banks and clients who cannot submit a request through the electronic banking system will be able to submit a request without logging in. To submit a request in this way, you will need to enter the insured person's code and card number.

What documents do I need to submit to receive the insurance payout? 

For life insurance clients 

In the case of the insured's death or accidental death of the insured: 

The beneficiary in the event of death, the policyholder, or their successors must promptly inform the insurer of the insured's death and submit the following documents no later than 30 days:

• A copy of the death certificate of the insured, certified by a notary or an authorized representative of the insurer;
• Documents confirming the identity/identification and/or authorizations of the beneficiary in the event of the insured's death or another person entitled to the insurance payout (a copy and originals for identification must be provided);
• A request for the insurance payout;
• Any additional documents or information required by the insurer for the investigation of the insured event or to confirm entitlement to the insurance payout, if requested by the insurer.

In the case of the insured's injury due to an accident: 

The insurer must be informed immediately and no later than 30 days from the occurrence of the insured event regarding the bodily injury of the insured due to an accident. To apply for the insurance payout, the following documents must be submitted:

• Documents from the healthcare institution detailing the injury sustained, its severity, treatment, and consequences;
• Documents confirming the identity of the person entitled to the insurance payout (a copy and originals for identification must be provided);
• A request for the insurance payout;
• Any additional documents or information required by the insurer for the investigation of the insured event or to confirm entitlement to the insurance payout, if requested by the insurer.

In the case of the diagnosis of critical illnesses of the insured: 

The insured, the policyholder, or the authorized persons of the insured must inform the insurer of the diagnosis of a critical illness of the insured no later than 30 days and submit the following documents:

• Documents from the healthcare institution with the confirmed diagnosis, medical history, test results, and treatment description, which would allow determining whether the diagnosis precisely meets the criteria for critical illnesses specified in the Appendix No. 1 of the supplementary critical illness insurance rules;
• Documents confirming the identity of the person entitled to the insurance payout (a copy and originals for identification must be provided);
• A request for the insurance payout;
• Any additional documents or information required by the insurer for the investigation of the insured event or to confirm entitlement to the insurance payout, if requested by the insurer.

You can find detailed information about insurance payouts for life insurance clients here.

For health insurance clients 

Only the Insured who has received Health Care services can submit a request for compensation of health insurance expenses. You can find the necessary documents to submit along with the request for expense compensation in this memo:

How long does it take to receive the insurance payout? 

For life insurance clients 

The insurance payout is made no later than 30 days from the date when all relevant information necessary to determine the fact and circumstances of the insured event is received; however, we strive to pay out as soon as possible.

For health insurance clients 

We aim to process health insurance claims as quickly as possible. The payout is made no later than 30 calendar days (unless otherwise specified in the contract) from the date we receive all necessary documents and information relevant to determining the fact, circumstances, and consequences of the insured event, as well as the amount of the insurance payout.

Where is the insurance payout transferred? 

For life insurance clients  

The insurance payout under the life insurance contract is transferred to the personal bank account of the insured/beneficiary specified in the insurance payout request.

For health insurance clients 

The insurance payout is transferred to the personal bank account of the insured individual, as indicated in the health insurance payout request.