In order to continue with the processing your application, may we request you to send us the following requirements:
Please send it to firstname.lastname@example.org, so we may process your application immediately.
This Rider becomes part of the policy to which it is attached if its Form Number is indicated in the Policy Schedule or Endorsement Form.
Coverage under this Rider shall take effect on the date this Rider is issued, or the date the initial premium thereof is paid, during your lifetime, whichever occurs later.
Upon receipt at its Head Office or such other of its duly authorized offices, of due proof of the death of the Insured while insured under the Policy and this Rider, PLGIC shall pay the amount of coverage under this Burial Benefit rider to Beneficiary(ies) to help recover expenses or settle outstanding debts and liabilities brought about by the death of the Insured.
The initial premium for this Rider shall be as indicated in the Policy Schedule or Endorsement Form. This additional premium shall be payable in the same manner and at the same time as the premium of the Policy to which this Rider is attached.
If you no longer wish to pay the premium or continue the effectivity of this Rider, and there are available cash values under your Rider as shown in the Schedule of Surrender Values, you may, by written request during the grace period, surrender this Rider for its Cash Surrender Value.
This rider shall automatically end and our liability and your payment of additional premium shall stop:
Termination of this Rider shall not defeat any claim arising before such termination. Upon termination, additional premium shall no longer be payable. Further payment or acceptance of any premium shall not create liability under this Rider except for the refund of such premiums. Any cash value, if available, shall be paid to the Insured upon.
This Burial Benefit Rider contact must be presented to us at our Head Office for the payment of any benefit. In case of the death of the Insured, we must receive statisfactory proof of the death at our Head Office within thrithy (30) days after the date of death.
Failure to give notice within this time shall not invalidate a claim if it was shown not to have been reasonably possible to give such notice. In this case, notice must be given as soon as reasonably possible.
This Rider is non-participating and does not share in the surplus earnings of the Company.
I hereby consent to the processing of the personal data stated above whether manually or via electronic channels, including but not limited to the collection, usage, storage, customer/client profiling, and disclosure to third parties, by Paramount Life & General Insurance Corporation (hereafter, “PLGIC”), its subsidiaries, affiliates, directors, officers, employees, and agents (a) to verify and/or confirm any or all the information provided or representation made, (b) to provide, facilitate, monitor, improve the quality of, or otherwise service my account and such products, services, and facilities and/or channels availed by me or may be offered by PLGIC, (c) for marketing purposes, and (d) to comply with legal, regulatory or other obligations of PLGIC under applicable local or foreign laws, rules and regulations.
I likewise consent to the processing of the personal data stated above whether manually or via electronic channels, including but not limited to the collection, usage, storage, and customer/client profiling, by authorized third parties for the foregoing purposes.
Such processing may be conducted for the duration of my availment of PLGIC’s products, services, facilities and/or channels. I further consent that the personal data stated above shall be retained by PLGIC for an additional period of at least five (5) years, or for a longer period if the personal data is related to or required to be preserved for litigation or to comply with legal or regulatory requirement. I likewise consent to the correction, amendment, deletion and/or disposal by PLGIC, its subsidiaries, affiliates, directors, officers, employees, agents, and authorized third parties, of my personal data which may be inaccurate or incorrect.
I attest that I have been made aware of and understood my rights as data subject and how these can be exercised, and that I was informed of the nature, extent and processing of the personal data I provided. I understand and agree that the consent hereby given may be revoked or withdrawn though formal written notice to PLGIC.
Finally, I authorize PLGIC, its subsidiaries, affiliates, directors, officers, employees, agents, and authorized third parties to obtain such other information they may deem necessary to verify or confirm the personal data declared or the documents furnished in relation to this application, and that I agree that such documents may remain in the possession of PLGIC whether or not this application is granted, for the purposes above mentioned.