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Generales

 



 

Where to report a loss or accident.

 

Guide to the accident claim:

Where to report a loss or accident:

Mexico City and metropolitan area:01 55 91 77 50 50
Toll FreeCare Center 24 hrs: 01 (800) 849-39-17

WHAT TO DO IN CASE OF A CLAIM.

  1. Call the toll free 01-800 number to report the accident
  2. Have your policy number reachable
  3. You should receive a report or claim number you must write down and keep for further references

These are the steps involved in the process of a claim:

  • Inspection of the adjuster.
  • Application and collection of documents.
  • Analysis and quantification by the Adjuster.
  • Presentation of the Convention.
Once confirmed the agreement and received by the insurer in the area of damage claims, the compensation check will be available within a 5 working days provided your payment in local currency, if your payment is foreign currency must be coordinated with the area of claims.

 


You will asked to provide:
  • Policy Number.
  • Name of the insured.
  • Date and time of accident.
  • Address of the event.
  • Contact person and Phone.
  • Nature of Loss.
  • Affected Goods.
If you need extra assistance, you can contact us to this number: 01-52-624-143-1212 ext.1301.
Toll free from US and Canada: 866-376-2289 and/or claims@caboinsurance.com

You will be asked for the following documents

 


You will asked to provide:
  • Policy Number.
  • Name of the insured.
  • Date and time of accident.
  • Address of the event.
  • Contact person and Phone.
  • Nature of Loss.
  • Affected Goods.
If you need extra assistance, you can contact us to this number: 01-52-624-143-1212 ext.1301.
Toll free from US and Canada: 866-376-2289 and/or claims@caboinsurance.com

You will be asked for the following documents

CITAMED Telephone information center

We offer our telephone information center Med Atlas, which provides service 24 hrs. 365 days a year, with the following numbers:

Mexico City and metropolitan area:
01-55-91-77-51-44
States
: 01-800-849-39-18


Where we advise on:
  1. Administrative procedures (reimbursement, scheduling surgeries, illnesses covered, exclusions).
  2. Information relating to service providers (doctors, hospitals and ambulances in agreement).
  3. Coordination of admissions to hospitals in the agreement).

Recommendations:

Our main goal is to provide excellent service, for this, let us make the following recommendations:

  1. Read carefully the General Conditions of your policy, because there are some conditions that are not covered and some that requires a waiting period.
  2. Pay your premium timely, because otherwise the company will not be able to pay or reimburse any claim you submit. If your policy is in "Grace Period" will not be possible to make direct payments, and coverage will operate under the reimbursement system.
  3. Keep your policy and receipts.
  4. Always carry the card Atlas Med Plus / Optimo and valid photo identification.
  5. Remove the deductible and coinsurance contracts, programs in advance (5 days minimum) surgery or medical treatment. This benefit applies only to hospitals and doctors use agreement.
  6. The service that the hospital will provide will form a contractual relationship between the hospital, the attending physician and you. Therefore, the responsibility of care is the hospital, physician, or both from the patient, because you freely chose. Seguros Atlas, SA not have legal or professional liability arising from this relationship.

Med Care Service.

It is a service in all major medical policies (single line for group policies and group, check this coverage with your agent), in which you can order:

  • Telephone Medical Guidance for 24 hrs. every day of the year.
  • Medical home or appointment with a doctor in a hospital, cost per visit of $ 200.00 MN
  • Transfer ground ambulance to nearest hospital (the first two are free), from the third movement, it will cost $ 600.00 MN
  • Travel assistance services (transfer of funds for medical expenses, round trip ticket for a relative, hotel expenses for convalescence, etc.).
  • Transmission of urgent messages.
  • Lawyer Reference.

Among other benefits, to know in detail this coverage or a service request dials the following numbers:

 


 


You will asked to provide:
  • Policy Number.
  • Name of the insured.
  • Date and time of accident.
  • Address of the event.
  • Contact person and Phone.
  • Nature of Loss.
  • Affected Goods.
If you need extra assistance, you can contact us to this number: 01-52-624-143-1212 ext.1301.
Toll free from US and Canada: 866-376-2289 and/or claims@caboinsurance.com

You will be asked for the following documents

In case of death Individual Policies

Atlas Insurance requested the following documents:

  • Birth of the insured.
  • Insured's death certificate.
  • Forms of notice of death, on stationery of the company's requirements in its entirety:
    • Or Statement No. 1 (should be a requirement for the beneficiary).
    • Or Statement No. 2 (should be a requirement by the physician who treated the insured in his last illness).
    • Or Statement No. 3 (must be a requirement for a person who has known the deceased).
In the three witness statements should note the name, signature and address.
  • Insurance Policy.
  • Birth of the beneficiaries.
  • Marriage certificate if the beneficiary is a spouse.
  • If the beneficiaries are not parents, spouses or children must be provided RFC keyword or CURP.
  • In sum insured claims with more than $ 100,000.00 must be presented CURP and proof of address of the beneficiary (Art. 140 of the Ministry of Finance).
  • If the death occurs by accident will require the certified copy of the preliminary investigation of Public Prosecutions (including results of autopsy, toxicology and alcohol).
Atlas Insurance reserves the right to request any other necessary documentation.


In case of death in group policies or collective

Present the following documents to Atlas Insurance:

  • Birth of the insured.
  • Minutes of death of the insured.
  • Forms of notice of death, on stationery of the company's requirements in its entirety:
    • Or Statement No. 1 (should be a requirement for the beneficiary).
    • Or Statement No. 2 (should be a requirement by the physician who treated the insured in his last illness.
    • Or Statement No. 3 (must be a requirement for a person who has known the deceased).
In the three witness statements should note the name, signature and address.
  • Consent to the insured individual beneficiary designation.
  • Birth of the beneficiaries.
  • Marriage certificate if the beneficiary is a spouse.
  • If the beneficiaries are not parents, spouses or children must be provided with homo RFC keyword of CURP.
  • In sum insured claims with more than $ 100,000.00 must be filed CURP and proof of address of the recipient (Art. 140 of the Ministry of Finance).
  • Official identification of the insured and the beneficiaries, with photograph and signature (voter registration card or passport).
  • If the death occurs by accident will require the certified copy of the preliminary investigation of Public Prosecutions (including results of autopsy, toxicology and alcohol).
  • Last pay stub, high IMSS or ISSSTE, in all cases lower attach the institution where they serve.
Atlas Insurance reserves the right to request any other necessary documentation.


In case of invalidity Individual Policies

In case of disability of people affiliated to IMSS or ISSSTE must submit:

  • Format a disability decision official: MT4 - ST4 IMSS or ISSSTE format.
  • Consent to the insured individual beneficiary designation, for the policies of the Group and Collective.
  • Birth of the insured.
  • Official identification of the insured and the beneficiaries, with photograph and signature (voter registration card or passport).
  • Last pay stub before the disability.
  • High IMSS or ISSSTE, in all cases lower attach the institution where he was serving.
Atlas Insurance reserves the right to request any other necessary documentation.


In case of invalidity of group policies and collective

In case of disability of people affiliated to IMSS or ISSSTE must submit:

  • Format a disability decision official: MT4 - ST4 IMSS or ISSSTE format.
  • Consent to the insured individual beneficiary designation, for the policies of the Group and Collective.
  • Birth of the insured.
  • Official identification of the insured and the beneficiaries, with photograph   and signature (voter registration card or passport).
  • Last pay stub before the disability.
  • High IMSS or ISSSTE, in all cases lower attach the institution where he was serving.
Atlas Insurance reserves the right to request any other necessary documentation.

 


You will asked to provide:
  • Policy Number.
  • Name of the insured.
  • Date and time of accident.
  • Address of the event.
  • Contact person and Phone.
  • Nature of Loss.
  • Affected Goods.
If you need extra assistance, you can contact us to this number: 01-52-624-143-1212 ext.1301.
Toll free from US and Canada: 866-376-2289 and/or claims@caboinsurance.com

You will be asked for the following documents