Apply for Domestic Helper Insurance
Employer Information
Domestic Helper's Details
Plan details
Please note that the Effective Date of Cover should be:
New : On or before arrival date of domestic helper into Singapore
Transfer : Date you will be applying for issuance of work permit with MOM
Renewal : Day after the expiry date of the present work permit

Our premium is calculated on a 24-month period in line with the work permit.
We do not charge any premium for the additional 2 months' grace period as required by MOM.
This additional 2 months' period cannot be transferred to the next work permit renewal or extension period.
Add-ons
Add-on 2: Hospitalisation & Surgical Expenses
Add S$ 10,000
S$ 64.20
Add S$ 20,000
S$ 107.00
Add S$ 30,000 (For Ultimate-Plus Plan only)
S$ 160.50
Add S$ 40,000 (For Ultimate-Plus Plan only)
S$ 214.00
Add S$ 60,000 (For Ultimate-Plus Plan only)
S$ 256.80
Add-on 3: Additional Benefits
1. Daily Hospital Allowance, up to $600
($20 per day, max 30 days)
S$ 32.10
2. Alternative Maid Services, up to $600
($20 per day, max 30 days)
3. Ambulance Fees, up to $300
4. Fidelity Guarantee, up to $2,000
Add-on 4: Dental Care (Inclusive of 30% discount)
Add S$ 1,000
S$ 224.70
Add S$ 3,000
S$ 299.60
Add-on 5: In-hospital Psychiatric Care
Add S$ 3,000
S$ 64.20
Add S$ 5,000
S$ 80.25


Add-on total (S$):
S$
Total Payable Amount (S$)
S$

DECLARATION AND UNDERTAKING
I hereby declare that the information given above is true and complete and that I have not withheld any material fact. I authorize you to obtain any information you may require relating to this Proposal, from any of the sources stated above. I agree that if any situation arises before this Proposal is finalized which changes any of the representation made by me in this Proposal, I will promptly notify you accordingly.

This Proposal and any Guarantee issued pursuant to this Proposal shall be subject to this Counter Indemnity and the terms and conditions to which I agree.

TERMS AND CONDITIONS OF COUNTER INDEMNITY FOR LETTER OF GUARANTEE APPLIED FOR ABOVE
In consideration of Etiqa Insurance Pte. Ltd. (the Company) agreeing at the request of the party executing this Counter Indemnity to issue a Letter of Guarantee in favour of the Ministry of Manpower, Singapore (MOM) for the sum of $5000 (hereinafter called the MOM Guarantee) guaranteeing the satisfactory performance and observation of the conditions imposed on the Employer by the MOM in the Security Bond executed by the Employer in favour of the MOM and/or to issue a Letter of Guarantee in favour of the Labour Attache (the Labatt), Embassy of the Philippines for the sum of $2000 or $7000, whichever applicable, (hereinafter called the Labbatt Guarantee) (collectively known as the Guarantees) guaranteeing the satisfactory performance and observance of the conditions imposed on the Employer by the Labatt in the Embassy of the Philippines' Standard Employment Contract for Filipino workers in Singapore executed by the Employer in favour of the Labatt, I the Employer hereby agree as follows:

1. I hereby irrevocably and unconditionally undertake for myself/my heirs, executors, administrators, assigns, and successors, as a continuing obligation, to indemnify the Company on demand in full against all claims, payments, demands, actions, suits, proceedings, losses, liabilities, costs, interests and expenses whatsoever which may be taken or made against it or incurred or become payable by it under or in respect of either or both the Guarantees including, without limitation, any legal and other costs on an indemnity basis, charge interest or expense incurred by the Company in connection with either or both the Guarantees of this Counter Indemnity. I agree that the Company may in its absolute discretion compromise all claims, payments, demands, actions, suits, proceedings, losses, liabilities which may be taken or made against it under either or both the Guarantees. I also agree to accept all receipts, vouchers and other evidence of all payments made by the Company or of all liabilities or obligations incurred by it by reason of either or both the Guarantees as conclusive evidence against me and my estate of the fact and extent of my liability herein to be Company.

2. I further agree that the Company will be entitled to impose an interest charge of 9% per annum on any sum of money paid out by you on my behalf in connection with the above Guarantee whether to the MOM or otherwise and that such interest will be payable on any sum(s) of money paid by the Company on my behalf in the event that I do not settle the said outstanding payment(s) made on my behalf within 7 days from the date I am given notice by the Company of the same.

3. My liability hereunder is irrevocable and shall remain in full force or effect until the Company’s liability under either or both the Guarantees is discharged.



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PERSONAL DATA
I/We expressly authorise and consent to Etiqa Insurance Pte. Ltd. (Etiqa), its officers and employees, at their sole discretion, to disclose any and all information relating to me/us, including my/our personal particulars, my/our transactions and dealings and my/our policies of insurance with Etiqa, to any of the following persons, whether in Singapore or elsewhere, for purposes reasonably required to evaluate my/our application and to provide the product or services which I/we am/are applying for (including any new policy application, renewals and/or alterations), and such other purposes as described in Etiqa's Data Protection Statement on Etiqa's website:
  1. Etiqa's holding company, subsidiary, branches, representative officers, related corporations or affiliates;
  2. Any of Etiqa's contractors, or third party service providers or distribution partners or professional advisers or representatives;
  3. Any regulatory, supervisory or other authority, court of law, tribunal or person, in any jurisdiction, where such disclosure is required by law, regulation, judgement or order of court of order of any tribunal or as a matter of practice;
  4. Any actual or potential assignee(s) or transferee(s) of any rights and obligations of Etiqa under or relating to my policy or policies for any purpose connected with the proposed assignment or transfer; and
  5. Any credit bureau or insurer, for such purpose(s) that Etiqa in its reasonable opinion considers appropriate including but not limited to the purposes of underwriting, customer servicing and investigation.
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