Personal Accident Insurance

ACTIVATION

COVERAGE

CLAIM

Please enter your Personal Accident Insurance PIN

First Name

Last Name

Middle Name (Optional)

Gender

MALEFEMALE

Place of Birth

Date of Birth

Nationality

House number & Street

Brgy, Subdivision/Village

Province

City

Zipcode

Type of ID

ID Number

Note: An AXA representative or a financial partner may contact you to get identification card information.

Mobile No.

Email Address

Nature of occupation(Industry)

Specific occupation

Monthly Income

Business Name/Employer

Business/Company contact number

Country

Note: We regret that we are unable to accept application from countries not found in the list

Province

City

Unit/Floor Number

Building name

Street

Barangay

Beneficiary Information

First Name

Last Name

Middle Name (Optional)

Gender

MALEFEMALE

Place of Birth

Date of Birth

Nationality

House number & Street

Barangay

Province

City

Zipcode

Mobile No.

Relationship with the insured

I understand and agree that by filling out my personal information above, I authorize AXA Philippines, including its affiliates, subsidiaries, third parties contracted by AXA Philippines, to use said personal information to evaluate and assess my request.

I would like to request for a call back by an AXA Financial Partner to learn more about AXA's financial solutions.

I consent to receive notices and announcements for marketing purposes via Short Messaging Services (SMS), e-mail, or other electronic platform from AXA Philippines, its affiliates, subsidiaries, including any person or entities providing services on AXA’s behalf, consistent with the purpose for which the information was obtained. For more details please refer to our Privacy Policy.

What you're covered for

Accidental Death

Covers loss of life due to accident

Permanent Disablement

Covers accidental bodily injury which result to permanent disablement, subject to the table of permanent disablement.

Quick Guide on How to Claim

1. Report the accident to AXA within 30 days from happening. Download and fill out the Personal Accident (Claimant's Statement) and Personal Accident (Attending Physician's Statement) claim forms.

2. Submit the claim form along with the complete documentary requirements online to oneclaims@axa.com.ph or to the nearest AXA branch.

3. AXA will confirm the approval of your request five (5) days after submission of the complete requirements through e-mail or a call.

4. Insurance claim will be received via your preferred channel as indicated in the e-mail or call from an AXA representative.

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Emma by AXA

About Us

Products

Buy Online

Understand Your Needs

Payments

Support

Emma by AXA

About Us

Activate your Personal Accident Insurance today!