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Insurance Proposal Form

Insurance Proposal Form Template for Indonesia

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Key Requirements PROMPT example:

Insurance Proposal Form

"I need an Insurance Proposal Form compliant with Indonesian regulations for a medium-sized manufacturing company seeking comprehensive property and business interruption coverage, with specific attention to natural disaster risks and machinery breakdown coverage."

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Document background
The Insurance Proposal Form is a crucial document in the Indonesian insurance market, required by Law No. 40 of 2014 on Insurance and regulated by the Financial Services Authority (OJK). This document serves as the initial step in establishing an insurance contract, where potential policyholders provide detailed information about themselves and the risk to be insured. The form must comply with strict regulatory requirements, including consumer protection provisions, transparency obligations, and data protection standards. Insurance companies use this information to assess risks, determine premium rates, and make informed underwriting decisions. The proposal form varies depending on the type of insurance being sought (life, general, health, or specialized coverage) but must always maintain compliance with Indonesian insurance regulations and OJK guidelines regarding standard agreements in financial services.
Suggested Sections

1. Proposer Information: Basic details of the individual or entity seeking insurance, including full name, address, contact information, and identification details

2. Type of Coverage Required: Selection of insurance type and coverage amount being requested

3. Risk Details: Specific information about the subject matter to be insured (property, life, vehicle, etc.)

4. Previous Insurance History: Details of any previous insurance policies and claims history

5. Declaration of Health/Condition: Statement about the current condition of the subject matter to be insured

6. Payment Details: Premium payment method and frequency preferences

7. Beneficiary Information: Details of nominated beneficiaries where applicable

8. Declarations and Warranties: Standard declarations about the truthfulness of information provided

9. Privacy Notice: Information about how personal data will be collected, used, and protected

10. Authorization: Consent for information verification and policy issuance

Optional Sections

1. Medical History: Detailed health information section for life or health insurance proposals

2. Property Details: Detailed property information section for property insurance proposals

3. Vehicle Information: Detailed vehicle information section for motor vehicle insurance proposals

4. Business Operations: Details of business operations for commercial insurance proposals

5. Additional Riders: Optional additional coverage selections available for the specific insurance type

6. Agent/Broker Details: Information about the insurance intermediary if the proposal is not direct

7. Foreign Currency Declaration: Required when the policy is to be denominated in a foreign currency

Suggested Schedules

1. Schedule A - Premium Calculation: Detailed breakdown of premium calculation and payment schedule

2. Schedule B - Coverage Details: Comprehensive list of what is covered and excluded under the policy

3. Schedule C - Required Documents: List of supporting documents required for the proposal

4. Appendix 1 - Medical Questionnaire: Detailed health questionnaire for life/health insurance proposals

5. Appendix 2 - Risk Assessment Form: Detailed risk assessment checklist for property/commercial insurance

6. Appendix 3 - Beneficial Owner Declaration: Declaration of beneficial ownership for corporate proposers as required by regulations

7. Appendix 4 - Product Information Sheet: Mandatory product disclosure statement as required by OJK regulations

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions








































Clauses

























Relevant Industries

Financial Services

Insurance

Banking

Healthcare

Real Estate

Manufacturing

Retail

Transportation

Agriculture

Construction

Technology

Energy

Mining

Professional Services

Education

Relevant Teams

Legal

Compliance

Risk Management

Underwriting

Claims Processing

Customer Service

Sales

Product Development

Operations

Policy Administration

Actuarial

Business Development

Document Management

Relevant Roles

Insurance Underwriter

Risk Manager

Compliance Officer

Legal Counsel

Insurance Broker

Insurance Agent

Claims Manager

Policy Administration Manager

Corporate Secretary

Chief Risk Officer

Insurance Operations Manager

Business Development Manager

Customer Service Representative

Product Development Manager

Actuarial Analyst

Industries







Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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