• Death

  • – Application for insurance indemnity. In case of Death as a result of Accident, the application for insurance indemnity form should include the address of the authority conducting the investigation (police or public prosecutor’s office) and if possible be accompanied by the case reference and a description of the circumstances of the Accident
  • – The Insurance Policy, if possible
  • – The copy-extract of death certificate
  • – A photocopy of certificate (notification for death) using the official model used in the country where the Insurance Event occurred or using the model provided by the Insurer and completed by the doctor certifying death, and indicating the cause of death
  • – For the Death as a result of Accident, the official evidence of the Accident as cause of the death such as a police report, death report (original or copies certified by a notary public that are seen by the Insurer, copied for its purposes and returned to the person presenting), if possible
  • After first analysis, additional documents could be required by the Insurer if necessary.

• Permanent Total Disability to Work

  • – Application for insurance indemnity. For the Permanent Total Disability to work as a result of Accident, the Application for insurance indemnity form should include the address of the authority conducting the investigation (police or public prosecutor’s office) and if possible be accompanied by the case reference and a description of the circumstances of the Accident
  • – The Insurance Policy, if possible
  • – Certificate of the medical committee of the Social Security Establishment (ZUS/KRUS) or other entity entitled by Social Security Establishment (ZUS/KRUS) to confirm the Permanent Total Disability to work
  • – A medical certificate, according to the Polish Social Security regulation, completed by the doctor providing treatment and which shows the nature of the injuries or Sickness, the resultant permanent impairment and the date of consolidation – ZUS and KRUS decision
  • After first analysis, additional documents could be required by the Insurer if necessary.

• Permanent Total Disability

  • – Application for insurance indemnity. For the Permanent Total Disability as a result of Accident, the Application for insurance indemnity form should include the address of the authority conducting the investigation (police or public prosecutor’s office) and if possible be accompanied by the case reference and a description of the circumstances of the Accident
  • – The Insurance Policy, if possible
  • – Certificate issued by the Competent Authority to confirm the Permanent Total Disability to Work or Significant Degree of Disability
  • – A medical certificate, according to the Polish Social Security regulation, completed by the doctor providing treatment and which shows the nature of the injuries or Sickness, the resultant permanent impairment and the date of consolidation – ZUS and KRUS decision
  • – If Significant Degree of Disability applies – decision on granting the retirement pension or decision on the last retirement pension valorisation and the certificate issued by the Competent Authority on retirement pension payment or recent retirement pension payslip or the last month bank statement/ bank account history, confirming the inflow of retirement benefit
  • After first analysis, additional documents could be required by the Insurer if necessary.

• Involuntary Loss of Employment

  • – Application for insurance indemnity
  • – The Insurance Policy, if possible
  • – Certified copy of the document confirming Status of an Unemployed Person with the right for the Unemployment Allowance or in the case of a subsequent request for compensation, the document confirming that the Policyholder/Insured Person have received unemployment allowance, should be provided every month
  • – Original or copy certified by the Insurance Agent of any document proving the last employment status, covering a minimum of 3 months before the date of conclusion of the insurance contract
  • After first analysis, additional documents could be required by the Insurer if necessary.

• Temporary Total Disability

  • – Application for insurance indemnity. For the Temporary Total Disability to work as a result of Accident, the Application for insurance indemnity form should include the address of the authority conducting the investigation (police or public prosecutor’s office) and if possible be accompanied by the case reference and a description of the circumstances of the Accident
  • – The Insurance Policy if possible
  • – Medical Certificate
  • – Document confirming that the Policyholder/Insured Person conducts economic activity or their occupation status (civil-law contract)
  • After first analysis, additional documents could be required by the Insurer if necessary.

• Critical Illness

  • – Application for insurance indemnity
  • – The Insurance Policy if possible
  • – All documents indicated by the Insurer that it deems necessary to process the claim and available for the Policyholder/Insured Person to be obtained. In particular, the medical file related to the Critical Illness that includes the results of tests confirming that the disease complies with the Critical Illness definition. This document must be submitted at the latest within 30 days of the disease being diagnosed or the Policyholder/Insured Person leaving the hospital
  • After first analysis, additional documents could be required by the Insurer if necessary.

Every document transmitted to us is deeply analyzed; and in case of life guarantee, the decision is made by a medical expert.

For more information regarding the progress of a claim:
E-mail: roszczenia@societegenerale-insurance.pl
Phone number: (71) 774 29 99

• In respect of the insured event related to debit card

  • – Insurance Policy, if possible
  • – Claim Application
  • – Document issued by the police or other criminal enforcement body confirming notifying on suspicion of committing an offense, in case of Theft, Burglary or Robbery
  • – Bank Statement including the unauthorized transactions or amount of cash withdrawn from ATM
  • – In case of Unauthorized Use of Debit Card as a result of Theft, Burglary or Robbery document from the Bank informing about hour and date of blocking Debit Card, if such a document is possible to be received from the Bank
  • – Any other document, if possessed by the Policyholder/Insured Person, which the Policyholder/Insured Person wants to submit to confirm the circumstances of the Insured Event under the claim in the scope of Loss of cash withdrawn from ATM with use of Debit Card as a result of Robbery, if applicable.

• In respect of the insured event related to purchased good

  • – Insurance Policy, if possible
  • – Claim Application
  • – Document issued by the police or other criminal enforcement body confirming notifying on suspicion of committing an offense in case of Theft, Burglary or Robbery
  • – Original invoice or receipt confirming the purchase of Purchase Good with Debit Card.

• In respect of the insured event related to daily item

  • – Insurance Policy, if possible
  • – Claim Application
  • – Document issued by the police or other criminal enforcement body confirming notifying on suspicion of committing an offense in case of Theft, Burglary or Robbery
  • – In case of Theft, Burglary or Robbery of the Daily Item other than the wallet – original invoice or other document showing the cost for replacing the Daily Item according to the Art 17.1.–17.4. of the General Terms and Conditions
  • – In case of Theft, Burglary or Robbery of the wallet – original invoice or receipt confirming the purchase of the wallet.

• In respect of the insured event related to devices

  • – Insurance Policy, if possible
  • – Claim Application
  • – In the case of Unauthorized Use of the SIM/USIM Card – document confirming blockade of the SIM/USIM Card and original invoice where the fraudulent use of the SIM/USIM Card may be seen
  • – Document issued by the police or other criminal enforcement body confirming notifying on suspicion of committing an offense in case of Burglary or Robbery
  • – Original invoice or receipt confirming the purchase of the Device to which the claim applies
  • – Any other document, if possessed by the Policyholder/Insured Person, which may enable to establish the circumstances of the Insured Event under the claim
  • Additionaly, in case of Insurable Event in the insurance variant „Premium“, if the claim refers to:
    • a) the Device owned by the Person living in the same household or
    • b) if an Insurable Event occurred to, Person living in the same household
    • – A document indicating that this person lives at the same address as the Policyholder/Insured Person e.g. invoice or other document confirming payment for electricity, gas or telecommunication services rendered at the same place as the Policyholder/Insured Person’s address of residence, issued in the name of the Person living in the same household or a document confirming the registered address of the Person living in the same household at the same place as the Policyholder/Insured Person’s address of residence
    • – If no document can be submitted, a written statement made by the Policyholder/Insured Person

Every document transmitted to us is deeply analyzed.

For more information regarding the progress of a claim:
E-mail: roszczenia@societegenerale-insurance.pl
Phone number: (71) 774 29 99