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Flexi Protector Personal Accident Insurance
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Flexi Protector Personal Accident Insurance

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Please fill in your Staff ID:

* Complete the Staff ID field.
* Oops! We couldn't find the Staff ID you entered. Please enter a correct one to proceed.

This insurance plan is for:
* Complete the relationship field.

Get Started

Please make sure you meet the following conditions:

  1. You are between {{productMinAge}} and {{productMaxAge}} years old at the time of application.
  2. This policy can be extended to include your spouse and children between 15 days and 21 years of age, or up to the age of 23 if they are still in full time higher education.
  3. You must be a Malaysian, Permanent Resident, Work Permit/Employment Pass Holder or otherwise legally employed person in Malaysia.
For policy renewal:

You may renew until you are 80 years old.

Please enter the details of Insured Person

* Complete the Country field.
* Complete the Passport No field.
* Complete the DOB field. * Main policyholder age must be between {{productMinAge}} and {{productMaxAge}} years.
* Complete the NRIC field. * Please check NRIC number. * Policyholder age must be between {{productMinAge}} and {{productMaxAge}} years.
* Complete the Passport No field.
* Oops, looks like you haven't ticked the box yet. Please do so to proceed.

Personal Details

* Complete the Country field.
* Complete the Name as per {{isIdNric ? "NRIC" : "Passport"}} field. * Please enter only alphabet, "-", "@", "/" and " ' " for Name. * Name cannot be greater than 70 characters.
* Complete the Email field. * Please enter a valid email address. * Email cannot be greater than 50 characters.
* Complete the Mobile field. * Please check mobile number.

Gender:

* Complete the Gender field.
* Complete the Address field. * Address field cannot be greater than 70 characters.
* Address 2 field cannot be greater than 70 characters.
* Complete the Postcode field. * Please enter a valid Postcode.

Family Member #{{index + 1}}

* Age limit for children is between {{additionalCoverageChildMinAge}} days and 21 years, or up to age {{additionalCoverageChildMaxAge}} if they are still in higher education
* Complete the Country field.
* Complete the Name as per {{member.nationality == 'Y' ? 'NRIC' : 'Passport'}} field. * Please enter only alphabet, "-", "@", "/" and " ' " for Name. * Member name cannot be greater than 70 characters.
* Complete the Passport No field.
* Complete the NRIC field. * Please check NRIC number. * Spouse age must be between {{additionalCoverageSpouseMinAge}} and {{additionalCoverageSpouseMaxAge}} years. * Child age must be between {{additionalCoverageChildMinAge}} days and {{additionalCoverageChildMaxAge}} years.
* Complete the Date of Birth field. * Child age must be between {{additionalCoverageChildMinAge}} days and {{additionalCoverageChildMaxAge}} years. * Spouse age must be between {{additionalCoverageSpouseMinAge}} and {{additionalCoverageSpouseMaxAge}} years.
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{{formData[2].rolesAndPlan[formData[3].currentRoleIndex].isMember ? "Family Member " + (formData[3].currentRoleIndex): "Principal Insured"}}{{ formData[2].rolesAndPlan[formData[3].currentRoleIndex].isMember ? " (" + formData[2].rolesAndPlan[formData[3].currentRoleIndex].roleName + ")" : "" }}:

{{formData[2].rolesAndPlan[formData[3].currentRoleIndex].rolePolicyHolderName}}

  • {{index + 1}}.{{role.isMember ? " Family Member " + (index): " Principal Insured"}}{{ role.isMember ? " (" + role.roleName + ")" : "" }}

Period of Coverage

Start Date:

* Complete the Start Date. * Policy start date must be starting from today.

End Date:

* Complete the End Date.

Oops, please check you details.

You haven't select a plan yet for:
  • {{role.isMember ? "Family Member " + (index): "Principal Insured"}}{{ role.isMember ? " (" + role.roleName + ")" : "" }}
You haven't select a date yet for:
  • {{role.isMember ? "Family Member " + (index): "Principal Insured"}}{{ role.isMember ? " (" + role.roleName + ")" : "" }}
Ok, got it
Back Continue

Oops, please check you details.

You haven't select a plan yet for:
  • {{role.isMember ? "Family Member " + (index): "Principal Insured"}}{{ role.isMember ? " (" + role.roleName + ")" : "" }}
You haven't select a date yet for:
  • {{role.isMember ? "Family Member " + (index): "Principal Insured"}}{{ role.isMember ? " (" + role.roleName + ")" : "" }}
Ok, got it
Continue Back

Personal Details

Country (as per Passport):

{{ findCountryByCode(formData['4'].policyHolderCountry).name }}

Name (as per {{step4PassportOrNric}}):

{{ formData['4'].policyHolderName }}

{{step4PassportOrNric}} No.:

{{ formData['1'].policyHolderNric }}

Email:

{{ formData['4'].policyHolderEmail }}

Mobile No.:

{{ formData['4'].policyHolderMobileNo }}

Gender:

{{ formData['4'].policyHolderGender == 'M' ? 'Male' : 'Female' }}

Date of Birth:

{{ covertToStringFormatDate(formData['4'].policyHolderDateOfBirth) }}

Address:

{{ fullAddress }}

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Referrer Staff ID (Optional)

* Please enter at least 6 characters for your Staff ID.

Branch Abbreviation (Optional)

* Please enter 3 to 10 characters for your Branch Abbreviation. * Please enter 3 to 10 characters for your Branch Abbreviation.
* Invalid promo code.
Apply

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* Oops, looks like you haven't ticked the box yet. Please do so to proceed.
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* Oops, looks like you haven't ticked the box yet. Please do so to proceed.
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Payment

Highlight: 0% interest Easy Payment Plan (EPP) available.

(a) RM{{eppMinPremium}} and above (6-month EPP)

(b) RM1,000 and above (12-month EPP)

Applicable only to Hong Leong Bank Credit Card.

Payment Method:

Bank:

* Please select a valid bank.

Note: You need to have an active internet banking account with any of the FPX performing banks to use FPX.

Email Address: (For transaction status)

* Complete the Email field. * Please enter a valid email address.

Credit / Debit Card:

* Please select a Credit/Debit Card provider.

Select Your Preferred E-Wallet:

* Please select an e-Wallet Provider.

By clicking "Pay Now" button, you agree to FPX's Terms & Conditions.

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By clicking "Pay Now" button, you agree to FPX's Terms & Conditions.

Pay Now Back
Error

Sorry, we are unable to proceed with your application online.

Please download and fill out the application form here here and submit it to us here.

Error Code: TI{{TIEErrorCode}}

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If you have any enquiries, you may contact our Customer Service Hotline at:

{{supportTel}}

enquiry_form

Or contact us through our

Online Enquiry Form

hour

Operating Hours

Monday - Friday

9.00am - 5.00pm (excluding public holidays)

Monday - Friday

9.00am - 6.00pm (excluding public holidays)

Monday - Friday

9.00am - 6.15pm (excluding public holidays)

Monday - Friday

8.30am - 5.00pm (excluding public holidays)

Monday - Friday

8.30am - 5.30pm (excluding public holidays)