Domestic Maid Medical Claim

Please complete the Domestic Maid Medical Claim Form that is available in our website and mail it to the broker stated in your certificate of insurance, together with the following supporting documents:

  1. Medical report or inpatient discharge summary
  2. Original medical bills and certificates (not applicable for outpatient claims)
  3. Referral letters (if any)
  4. A copy of the maid’s work permit
  5. A copy of the contractual agreement between you and the maid, stating the maid’s monthly salary (not applicable for outpatient claims)
  6. Monthly levy to MOM (not applicable for outpatient claims)

For Enquiries

ERGO Insurance Pte. Ltd.

Phone: +65 6829 9199/ +65 98276193 (office hours)
Fax: +65 6829 9247

Submit Claim