Group Insurance Letter of
Guarantee (LOG) Request

Fill up the form below to request for a LOG to waive your hospitalisation deposit.

Procedure To Follow

Please follow the steps below to ensure smooth processing of your LOG.

Step 1

Get your documents in order.

1. Admission form stating medical diagnosis

2. Financial counselling form with
estimated total charges

3. Attending physician statement and procedure to be done (if any)

4. Referral letter from general practitioner or specialist (if any)

Step 2

Submit your LOG request to us via email. 

1. For Customised Group Insurance, Foreign Workers Plan or Raffles Corporate Care, email to our mailbox at claims@raffleshealthinsurance.com

2. For Mercer Marsh Benefit Elect, email to our mailbox at electclaims@raffleshealthinsurance.com

Request for Group LOG

  • DD slash MM slash YYYY
  • Drop files here or
    Max. file size: 8 MB.
      e.g. medical reports, receipts of invoices (max file size 5 MB)