ULTIMATE SHIELD AND LIFE PLAN

A collaboration plan with PhilBritish and Eternal Plans

Tailored for you

Your Ultimate Protection

For As Low As ₱1,550.00

BENEFITS & COVERAGES

Age bracket	Benefits
18 to 65 years old	– Accidental death ₱50,000 – Medical Reimbursement ₱5,000 – Daily Hospital Assistance ₱300/day – Emergency due to illness ₱3,000 – Kabuhayan Assistance ₱5,000 – Fire Assistance ₱5,000 – Burial and Memorial ₱25,000
66 to 99 years old	– Accidental death ₱50,000 – Medical Reimbursement ₱2,500 – Daily Hospital Assistance ₱200/day – Fire Assistance ₱2,500 – Accident Burial Assistance ₱5,000

Terms & Conditions

Emergency and Life Plan is eligible for ages 18 years old to 99 years old only.

The card remains valid for twelve (12) months following activation.

The card activation occurs within 7 days from the registration date.

Member’s Information

Last Name *

First Name *

Middle Name

Suffix

Date of Birth *

Age *

Civil Status *

Religion

Address *

ZIP / Postal Code *

Email *

Mobile Number *

Gender *

Height

Weight

Beneficiary Information

Last Name *

First Name *

Middle Name

Suffix

Relationship to the member *

Mobile Number *

Address *

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