Please confirm the following statement:

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About you

Basic information

Other insurance

Contact

Anti-Money Laundering Act and General Declarations

Health Declaration

Independent service providers, Special class groups, & Government officials

Anti-Money Laundering Act, Data Privacy Declaration, Replacement Declaration and Exclusions

Anti-Money Laundering Act

Data Privacy Declaration

Replacement Declaration

Exclusions

Declaration

Confirmation

Restricted or unregulated businesses and industries

Please upload required document.

Identity verification

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Employer's address

Employment information

Employment status

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KanGuard Accidental Death Insurance Plan 1799

KanLive Life Insurance Plan 1799

KanMend Critical Illness Insurance Plan 1799

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Proof of identity

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Residential address

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Additional benefit when you pass away due to accident

Claim cash benefit when you get diagnosed with any of the 42 covered major critical illnesses

Benefit for your beneficiaries when you pass away

Unsaved changes

Your coverage amount exceeds the condition set by FWD

Keep us in the loop when there are changes in your contact info so that you can receive policy related updates.

Reminder:

I declare that I earn more than PHP 250,000 annually.

Application summary

I am a Filipino citizen. 
- I am not a US citizen or a US tax resident 
- I am currently in the Philippines

**Beneficiary**

By default, benefits shall be paid to any one of your surviving family members in the following order: 1) Legal Spouse, 2) Children, 3) Parent/s, 4) Sibling/s, 5) Your Estate.

⠀

Your nominated beneficiary is automatically tagged as primary beneficiary. Primary beneficiary is revocable (can be changed). Allocation of beneficiaries will be set to equal distribution by default. 

⠀

You can also easily update beneficiaries through our app [**Omne by FWD**](https://www.fwd.com.ph/support/omne-by-fwd/){target='_blank'}. We're available 24/7 to assist you.

**Company Voucher**

This plan covers you for 1 year. Your Death Benefit is renewable until Age 99. Your Accidental Death and Critical Illness Benefits are renewable until age 79. 

Your application is **auto-approved** from Year 2 onwards as long as you pay your premium every year.

**Company Voucher**

This plan covers you for 1 year. Your Critical Illness Benefits are renewable until age 79. 

Your application is **auto-approved** from Year 2 onwards as long as you pay your premium every year.

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I have read and agreed to the statements below
- Anti-Money Laundering Act
- Data Privacy Declaration
- Replacement Declaration
- Exclusions

I have read and agreed to the statements below
- Anti-Money Laundering Act
- Data Privacy Declaration
- Exclusions

Declarations

I do not own any interest in, deal with, provide services to, nor am I in any way affiliated with any restricted or unregulated businesses or industries.

My occupation is not among those listed in “Independent service providers, Special class groups, & Government officials”

Notes

Personal details & Employment

It’s important that you truthfully answer or confirm agreement with these statements. Concealment of any info may cause us to deny a claim for this policy.

Last step! Let's check the details and pay.

Last step! Check the details and confirm for submission.

**Note**

The annual premium is based on the selected coverage amount, and the age and gender of the insured.

**Free-look period**

You are entitled to a free-look period, which will run for 15 days upon issuance of the contract. During this period, you may review the policy provisions, inclusions, and exclusions. 

If you decide to cancel your policy within the free-look period, you may do so on [**Omne by FWD**](https://www.fwd.com.ph/support/omne-by-fwd/){target='_blank'} or by calling our 24/7 Customer Connect hotline at [**+632 8888 8388**](tel:+63288888388) to get a full refund.

By proceeding, I confirm that I am paying for this policy. Your application is **auto-approved** from Year 2 onwards as long as premium is paid every year.

**Note**

It's important that you truthfully answer or confirm agreement with these statements. Concealment of any info may cause us to deny a claim for this policy.

The annual premium is based on your age upon renewal, and your selected coverage amount.

**Free-look period**

You are entitled to a free-look period, which will run for 15 days upon issuance of the contract. During this period, you may review the policy provisions, inclusions, and exclusions. 

If you decide to cancel your policy within the free-look period, you may do so on [**Omne by FWD**](https://www.fwd.com.ph/support/omne-by-fwd/){target='_blank'} or by calling our 24/7 Customer Connect hotline at [**+632 8888 8388**](tel:+63288888388) to get a full refund.

By proceeding, I confirm that I am paying for this policy. Your application is auto-approved from Year 2 onwards as long as premium is paid every year.

Payment

Payment summary

Title

<div>Please contact us by calling <a href='tel:+63288888388'>+632 8888 8388</a> or through email <a href='mailto:CustomerConnect.ph@fwd.com'>CustomerConnect.ph@fwd.com</a>.
 You could also chat us live by clicking here.</div>

Add ons

(Optional)

Basic plan - Life

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