2025 MEDICAL INSURANCE PACKAGE No. HEALTH CARE INSURANCE UIC CARE I INFORMATION Insurance company United Insurance Of Company (UIC) Policyholder The Representative Office Of Sabre International B.V. In Hanoi City Policy number CPH250002HPD Insurance period From 01.05.2025 to 30.04.2026 II INSURANCE BENEFITS Detail III GUIDELINE INSURANCE Handbook Detail Policy wording Detail EN | Detail VN General claim guideline Detail Claim guideline process Detail Insmart Zalo mini app user guide*** Detail IV FORM Claim Form Word | PDF Accident report form Word | PDF V DIRECT BILLING Direct billing network Detail Blacklist Detail NOTES (DIRECT BILLING AND CLAIM BACK) 1. DIRECT BILLINGDirect billing with INSMART’s network (TPA)Inpatient treatment (illness/diseases/child-bilth)Out patient (illness/diseases)Dental treatment (diseases) 2. CLAIM BACKLegally-registered medical facilities in VietnamInpatient treatment (illness/diseases/accident/child-birth)Outpatient (illness/diseases/ accident)Death/ disablement (illness/diseases/accident/child-birth) (*) TimelineSubmitting claim: within 180 days since treatment dateProcessing claim: 10 – 15 working daysClaim payment: 03 – 05 working days(*) Claim online at Zalo mini appClaim online applies to claim amount up to VND10,000,000Please see Insmart Zalo mini app user guide above CONTACT bolttech (Medical benefits) Mrs. Nguyễn Thị Bích NgọcEmail: ngoc.nguyen@bolttech.ioMobile: 098 202 1815 Mrs. Phạm Thị Quỳnh MaiEmail: mai.pham@bolttech.ioMobile: 0904 990 910 bolttech (Claim support and claim submission) (*) HANOIMr. Dương Hùng ChiếnEmail: chien.duong@bolttech.ioMobile: 0904 990 910Address: Bolttech Vietnam – 11th Floor, Harec Building, 4A Lang Ha, Ba Dinh District, Ha Noi (*) HCM CITYMr. Phan Cao KhangEmail: khang.phan@bolttech.ioMobile: 0976 682 399Address: Bolttech Vietnam – 3th Floor, An Khanh Building, 63 Pham Ngoc Thach, District 3, Ho Chi Minh city Pacific Prime Insurance Brokers (Service and Support Team) AddressCross Street Exchange #09-0218 Cross StreetSingapore 048423 ContactTel: +65 6231 6560 (ext 150)Email: sabre@pacificprime.com