Declaration and Consent

I hereby apply for insurance as set out in the above application form and declare, to the best of my knowledge and belief, that the foregoing statements and particulars are true and complete. I hereby agree to notify Cocogen of any material change in the information as stated above.

I hereby certify that I voluntarily and expressly consent to the collection, processing, sharing, storing of my personal and/or sensitive information by Cocogen for the purpose/s necessary in processing my insurance policy and in any related transactions and/or in other purposes as stated in the Data Privacy Statement of Cocogen or in www.cocogen.com/data-privacy. I hereby certify that I carefully understood the terms above before giving my consent.

Privacy Policy

We, Cocogen, upholds an individual’s data privacy rights and assures that all your personal data, sensitive personal data and privileged information (collectively, “Personal Data”), collected and to be collected, are processed in compliance to the Data Privacy Act of 2012 (RA No. 10173 and its Implementing Rules and Regulations (IRR).

This Privacy Policy provides information on how we collect, use, manage and secure your personal data necessary to serve you better. Any information you provide to us indicates your express consent to the content of our Privacy Policy.

Collection of Personal Data: We collect the following personal data from you when you apply for our insurance products and services such as your:

• Name, birth date, place of birth, sex, nationality;
• Address (permanent and present addresses);
• Contract number or information (email address, telephone number and mobile number);
• PhilID or Government ID information (Passport, SSS or GSIS ID, driver’s license, postal ID); and
• Source of funds or property and occupation.

When you provide information other than yours, you undertake that you properly obtained their consent. You also certify that all personal data you submit is accurate, complete and up-to-date.

We may collect this information when you submit your application personally or through our distribution partners, insurance agents and brokers or when you call us, visit our websites and social media advertisements, submit to us as part your application and claims requirements; and, information that we gather from third-parties such as but not limited to subsidiaries, reinsurers, business partners.

Use: The collected personal data shall be used to process your transactions (e.g. insurance quotations and applications, policy issuance, claims servicing, premium payments); communicate and respond to your request; send your statements billings and notices for your insurance coverage; serve as a reference for promotional information regarding our products; conduct surveys and inform through phone, mail, email, SMS or other communication facility in order to help us take better care of your insurance needs and allow us improve our products and services for you; comply with the directives issued by regulatory bodies; assist the Company in risk management, identity and claim verification and prevent and detect fraud; and, perform any other actions as may be necessary to implement the terms and conditions of our contract.

We may disclose and share your personal data to the following:

• Our employee handling your account and requests;
• Our subsidiaries, affiliates and third-party service providers performing financial,administrative technical and other ancillary services;
• Banks for bancassurance transactions, reinsurance partners and professional advisers performing due diligence checks;
• Marketing intermediaries, agents, brokers and distributors;
• Government institution and other competent authorities which by law, rules or regulations requires us to disclose.
• Claim investigation companies, loss adjusters, assessors/claims investigators, suppliers, repairers;
• Person or entity that we contractually entered with that ensures the confidentiality standard we implement and adhere to the DPA.
• Any person that fall within matters of public concern, in order to carry out functions of public authority only to the extent of collection andfurther processing consistent with a constitutionally or statutorily mandated function pertaining to law enforcement, taxation and other regulatory function.

Thus, as a rule, Cocogen is not allowed to share your personal data to third party. However, by giving your consent, you authorize Cocogen to disclose your personal data to the aforementioned individuals and entities that is necessary for the proper execution of processes related to the declared purposes in this Privacy Policy and Consent and may not use it for any other purpose.

Protection Measures: To maintain the integrity and confidentiality of your personal data, we have implemented measures to secure and protect it from theft, loss, penetration or breach. We put in place organizational, physical and technical security measures necessary to protect your personal data. We will retain your personal data for as long as necessary to fulfill the purposes of your transactions with the Company, unless a longer period is allowed or required by law. After which physical records shall be disposed of through shredding while digital files shall be anonymized.

Contact Us: To exercise your rights under the DPA which include right to erase, block, modify and object to processing your personal data or should you have any inquiries or concerns on this Privacy Policy and Consent and/or complaints, you may contact our Data Protection Officer at:

Cocogen Data Protection Officer
Address: 22F One Corporate Center,
Doña Julia Vargas Avenue corner
Meralco Avenue, Ortigas Center, Pasig City
E-mail: dpo@cocogen.com

Kindly browse through our Privacy Policy at www.cocogen.com to know more on how we protect your personal data.

Data Privacy Consent

I hereby certify that I explicitly and unambiguously consent to the collection, processing, sharing, storing of my/our personal data by Cocogen for the purposes/s described in this Privacy Policy. I hereby certify that I carefully understood and comprehend the terms above before giving our consent. I further acknowledge that I have acquired the consent from all parties relevant to this consent and hold free and harmless Cocogen from any complaint, suit or damages which any party may file or claim in relation to my consent.

Important: Section 251 of the Insurance Code, as amended, imposes a fine not exceeding twice the amount claimed and/or imprisonment of 2 years, or both, at the discretion of the court, to any person who presents or causes to be presented any fraudulent claim for the payment of a loss under a contract of insurance, and who fraudulently prepares, makes or subscribes any writing with intent to present or use the same, or to allow it to be presented in support of any claim.

The Cocogen Insurance, Inc. website, e-mail newsletters, and mobile services, and any and all materials contained therein, are information services provided by Cocogen, the use of which shall be subject to the following terms and conditions.

By accessing the Cocogen information services and their content, you acknowledge and agree that you have read and understood the following terms and conditions and agree to be bound by them.

As used below, the terms “we”, “us”, and “our” refer to Cocogen.

1. CONTENT

   Cocogen information services are available for information purposes only. The publication and posting of any content and access to any of the Cocogen information services do not constitute, either explicitly or implicitly, any provision of services or products by us. Information concerning Cocogen products or services is only available from the relevant Cocogen companies

2. NO OFFER

   No information contained in this website or in any of Cocogen information services should be construed as an offer or a solicitation for an offer, as a statement of law, or as counsel on investment, legal, tax, or other matters. In case of any ambiguity or doubts in the information in Cocogen’s website, you are advised to verify or check with us or seek appropriate professional or legal advice.

3. NO DUTY TO UPDATE

   We reserve the right to update, modify, revise and change all the contents of our website and other Cocogen information services. We are not obliged to notify you of any changes made on our Terms and Conditions. However, we will endeavor to regularly update the contents of the website and other Cocogen information services.

   Your continuous access to website following any change in the website signifies that you agree to be bound by the Terms and Conditions, as revised.

4. COPYRIGHT AND TRADEMARKS

   All information, photographs, service marks, logos, artworks and all other contents of the website and other Cocogen information services are owned, controlled or licensed by or to Cocogen or its third party licensors, and are protected by intellectual property laws.

   The limited use, copying and distribution without alteration of any of the materials and information contained in the Cocogen website and other Cocogen information services and the use of said materials and information shall be allowed for non-commercial purposes only: provided that all copyright and other proprietary notices shall appear in all copies of the materials and the information in the same manner as the original. The use of the materials for all other purposes is prohibited.

   You shall not use any portion of this website, or any other intellectual property of Cocogen, including but not limited to its service marks, on any other website, in the source code of any other website, or in any other printed or electronic materials without the prior written consent of Cocogen. You shall not modify, publish, reproduce, republish, create derivative works, copy, upload, post, transmit, distribute, or otherwise use any of the Cocogen information services’ contents or frame the Cocogen website within any other website without prior written consent of Cocogen. Systematic retrieval of data from this website to create or compile, directly or indirectly, a collection, compilation, database or directory, without prior written consent from Cocogen, is prohibited. Linking from another website to any page in this website is strictly prohibited without prior written consent of Cocogen.

5. NO WARRANTY

   All contents on any and all Cocogen information services, including, but not limited to, graphics, text, and hyperlinks or references to other sites, are subject to change without prior notice and without warranty of any kind, express or implied, including, but not limited to, sustainability for a particular purpose, non-infringement and freedom of rights of third parties.

   We do not guarantee the adequacy, accuracy, reliability or completeness of any information provided by the Cocogen information services and expressly disavow any liability for errors or omissions therein. The user is responsible for the assessment of the information’s adequacy, accuracy, reliability, and completeness.

   We do not guarantee that the functions of the Cocogen information services will be uninterrupted and/or error-free, and that the defects and errors will be corrected or that the Cocogen information services or the servers that make them available are free from computer viruses or other harmful components.

   Should your machine which includes but is not limited to your desktop, laptop, or smartphone, be infected by such viruses while using Cocogen information services, you shall assume the entire cost of all necessary servicing, repairs, or corrections.

6. HYPERLINKED AND REFERENCED WEBSITES

   Certain hyperlinks or referenced websites in the Cocogen information services may take you to third-party websites and we do not guarantee the adequacy, accuracy, reliability, or completeness of any information on hyperlinked or referenced websites. We disclaim any liability for any and all of the contents of said hyperlinked or reference websites.

   The hyperlinks to other websites are offered for your convenience only. Their presence in our website does not imply that we endorse such websites or that products or services that are described therein are our own. We likewise do not guarantee the correctness and accuracy of the information in said hyperlinked websites.

   We remind you that different terms and conditions will apply for your use of such websites and that your access to third-party websites is entirely at your risk.

7. CONFIDENTIALITY OF INFORMATION

   By using the Cocogen information services, you agree, understand, and confirm that the any and all information, including your credit or debit card details, you provide to access Cocogen information services or to availing of our any of the services in said services are owned by you or that you have lawful authority to use said information.

   We commit that we will not disclose, utilize, and share the said information to any third parties unless required by law, regulation or court order.

   We, as a merchant, shall be under no liability whatsoever in respect of any loss or damage resulting directly or indirectly from the decline of authorization by the card issuer for any transaction on account of the cardholder having exceeded the limit mutuallyagreed by us with our acquiring bank from time to time.

8. REFUND AND CANCELLATIONS

   For concerns regarding refunds and cancellation of policies, please free to contact our Client Services Center via phone at 8830-6000 or via email at client_services@cocogen.com. Please be informed that cancellations will be subject to the specific terms and conditions of the policy sought to be canceled.

9. LOCAL LEGAL RESTRICTIONS

   Any information appearing on this website is provided in accordance with and subject to the laws of the Republic of the Philippines.

   Cocogen information services are not intended for any person in any jurisdiction where (by virtue of that person’s nationality, residence or otherwise) the publication or availability of Cocogen information services is prohibited. Persons to whom such prohibition applies may not access the Cocogen information services.

10. RESERVATION OF RIGHTS

    We reserve the right to change, modify, add to, or remove sections of these terms of use at any time.

11. GOVERNING LAW AND DISPUTE RESOLUTION

    You agree that all matters relating to your use and access of all Cocogen information services shall be governed by the laws of the Republic of the Philippines. Any dispute, controversy or claim arising out of or relating to this Terms and Conditions, or the breach, termination or invalidity thereof shall be settled by arbitration in accordance with the PDRCI Arbitration Rules as at present in force.

12. ENTIRE AGREEMENT

    This Agreement constitutes the entire agreement between you and Cocogen with respect to your access and/or use of this website.

• War, invasion act of foreign enemy, hostilities (whether war be declared or not), civil war, rebellion, revolution, insurrection, mutiny, military or usurped power, or malicious persons acting on behalf of, or in connection with, any political organization, confiscation, commandeering, requisition, or destruction of or damage to property by order of the government de jure or defacto or by any public authority;

• Strike, lock-out, riot, civil commotion, or terrorist attacks;

• Nuclear reaction, nuclear radiation or radioactive contamination

• Willful acts or gross negligence on the part of the insured or one of his representatives

• Material defects, manufacturing discrepancies

• Consequential loss of any kind or description, whatsoever

• Damages or loss where a third party supplier, manufacturer or retailers, carrier, forwarding agents or contractor is liable for

• Wear and tear, abrasion and ageing of any part of the insured item naturally resulting from ordinary use, or working, or gradual deterioration

• Aesthetic defects such as scratches on surfaces and screens
• Any loss caused by: malware, ransomware, spyware, or any other malicious code or software intentionally designed to damage the device
• Devices set for rental use, such as computers in computer shops.
• If the device is still under warranty and the loss is recoverable under its terms, the insured must file a claim under the warranty first.

STANDARD COVERAGE		ECONOMY	ESTEEM	EXECUTIVE	ELITE
A	Accidental Death Disablement	10,000 US$	25,000 US$	50,000 US$	100,000 US$
B	Personality Liability	1,000 US$ (ded. 100US$)	10,000 US$ (ded. 1,000US$)	20,000 US$ (ded. 2,000US$)	25,000 US$ (ded. 2,000US$)
C	Accidental Burial Assistance	250 US$	500 US$	1,000 US$	2,000 US$
D	Medical expenses and hospitalization abroad	20,000 US$	45,000 US$	50,000 US$	100,000 US$
E	Travel Assistance Services
1	Transport or repatriation in case of illness or accident	Actual Expense	Actual Expense	Actual Expense	Actual Expense
2	Emergency dental care	200 US$	200 US$	200 US$	400 US$
3	Hospital Cash Income	20 US$ per day max of 10 days	20 US$ per day max of 10 days	20 US$ per day max of 10 days	20 US$ per day max of 10 days
4	Repatriation of a family member travelling with the insured	Actual Expense	Actual Expense	Actual Expense	Actual Expense
5	Repatriation of mortal remains	Actual Expense	Actual Expense	Actual Expense	Actual Expense
6	Escort of dependent child	Actual Expense	Actual Expense	Actual Expense	Actual Expense
7	Travel of one immediate family member	Travel cost plus up 100 US$/day maximum 1,000US$	Travel cost plus up 100 US$/day maximum 1,000US$	Travel cost plus up 100 US$/day maximum 1,000US$	Travel cost plus up 200 US$/day maximum 2,000US$
8	Emergency return home following death of a close family member	Actual Expense	Actual Expense	Actual Expense	Actual Expense
9	Delivery of medicine	Actual Expense	Actual Expense	Actual Expense	Actual Expense
10	Relay of urgent messages	Actual Expense	Actual Expense	Actual Expense	Actual Expense
11	Long distance medical information service	Actual Expense	Actual Expense	Actual Expense	Actual Expense
12	Medical referral/appointment of local medical specialist	Actual Expense	Actual Expense	Actual Expense	Actual Expense
13	Connection services	Actual Expense	Actual Expense	Actual Expense	Actual Expense
14	Advance of bail bond	1,000 US$	1,000 US$	1,000 US$	2,000 US$
15	Trip Cancellation	3,000 US$	3,000 US$	3,000 US$	5,000 US$
16	Trip Curtailment	3,000 US$	3,000 US$	3,000 US$	5,000 US$
17	Delay Departure	200 US$ (Lump Sum cash benefit per occurrence/Non-Receipted up to 100US$)	200 US$ (Lump Sum cash benefit per occurrence/Non-Receipted up to 100US$)	200 US$ (Lump Sum cash benefit per occurrence/Non-Receipted up to 100US$)	500 US$ (Lump Sum cash benefit per occurrence/Non-Receipted up to 100US$)
18	Flight Misconnection	200 US$	200 US$	200 US$	400 US$
19	Flight Diversion	200 US$	200 US$	200 US$	400 US$
20	Baggage Delay	40 US$ (Lump Sum cash benefit per occurrence/Non-Receipted up to 40US$)	90 US$ (Lump Sum cash benefit per occurrence/Non-Receipted up to 90US$)	100 US$ (Lump Sum cash benefit per occurrence/Non-Receipted up to 100US$)	250 US$ (Lump Sum cash benefit per occurrence)/ Non-Receipted up to 100US$)
21	Compensation for in-flight loss of checked-in baggage	Up to 1,200 US$ subject to limit 150 US$ for any item	Up to 1,200 US$ subject to limit 150 US$ for any item	Up to 1,200 US$ subject to limit 150 US$ for any item	Up to 2,400 US$ subject to limit 300 US$ for any item
22	Lost Or Stolen Baggage/Personal Belongings Not Checked-In	Up to 1,200 US$ subject to limit 150 US$ for any item	Up to 1,200 US$ subject to limit 150 US$ for any	Up to 1,200 US$ subject to limit 150 US$ for any	Up to 2,400 US$ subject to limit 300 US$ for any
23	Location and forwarding of baggage and personal effects	Actual Expense	Actual Expense	Actual Expense	Actual Expense
24	Loss of Personal Money	250 US$	250 US$	250 US$	250 US$
25	Loss of Passport,Driving License, National Identity Card Abroad	250 US$	250 US$	250 US$	250 US$

	COVERAGE	ECONOMY	ESTEEM	EXECUTIVE	ELITE
A	Accidental Death Disablement	10,000 US$	25,000 US$	50,000 US$	100,000 US$
B	Personal Liability	1,000 US$ (ded. 100US$)	10,000 US$ (ded. 1,000US$)	20,000 US$ (ded. 2,000US$)	25,000 US$ (ded. 2,000US$)
C	Accidental Burial Assistance	250 US$	500 US$	1,000 US$	2,000 US$
	Emergency Medical Repatriation	Actual Expense	Actual Expense	Actual Expense	Actual Expense
	Repatriation of Mortal Remains	Actual Expense	Actual Expense	Actual Expense	Actual Expense
	Medical Expenses
	Emergency Medical Expenses including Cabin Confinement	20,000 US$	45,000 US$	50,000 US$	100,000 US$
	Travel Inconvinience
1	Cruise Cancellations (cancelling the Cruise before start of the Cruise)	3,000 US$	3,000 US$	3,000 US$	5,000 US$
2	Cruise Curtailment (Cutting your cruise trip/short)	3,000 US$	3,000 US$	3,000 US$	5,000 US$
3	Baggage Loss/Damage of Personal Baggage/Property - cabin checked-in items only (minimum 21 consecutive days to be considered lost)	Up to 1,200 US$ subject to limit 150 US$ for any item	Up to 1,200 US$ subject to limit 150 US$ for any item	Up to 1,200 US$ subject to limit 150 US$ for any item	Up to 2,400 US$ subject to limit 300 US$ for any item
4	Cruise Delays (Excluding Technical Failure, Poor Weather Conditions and Acts of Nature)	200 US$ (Lump Sum cash benefit per occurrence/Non-Receipted up to 100US$)	200 US$ (Lump Sum cash benefit per occurrence/Non-Receipted up to 100US$)	200 US$ (Lump Sum cash benefit per occurrence/Non-Receipted up to 100US$)	500 US$ (Lump Sum cash benefit per occurrence/Non-Receipted up to 100US$)

COVID-19 Coverage	Economy	Esteem	Executive	Elite
Medical expenses and hospitalilization abroad	US$ 20,000 for COVID-19 Cases	US$ 45,000 for COVID-19 Cases	US$ 45,000 for COVID-19 Cases	US$ 45,000 for COVID-19 Cases
Transport or repatriation in case of COVID-19 illness	up to US$ 15,000 for COVID-19 Cases	up to US$ 25,000 for COVID-19 Cases	up to US$ 25,000 for COVID-19 Cases	up to US$ 25,000 for COVID-19 Cases
Repatriation of mortal remains	Up to US$ 15,000 for COVID-19 Cases	up to US$ 25,000 for COVID-19 Cases	up to US$ 25,000 for COVID-19 Cases	up to US$ 25,000 for COVID-19 Cases