LUV Promotion

ONLINE APPLICATION

Apply for first year complimentary LUV Basic cover with a sum assured of $50,000 (Plan 2)
Each NTUC member shall only be eligible for a one-time, first year complimentary LUV Basic cover, regardless of the number of applications submitted for LUV Policy. Terms and conditions of the Promotion are as set out at www.income.com.sg/luvforyou

Statement under section 25(5) of Insurance Act, Cap. 142 (or any future amendments to it)
You must reveal all facts you know, or ought to know, which may affect the insurance cover you are applying. Otherwise, the insurance policy may not be valid.

Important
You will note that our legal responsibility does not start until this application has been accepted by us.

Details of proposer (NTUC member)

Have account with us? We'll fill up your details when you login to me@income.

As shown in NRIC
e.g. S1234567A
e.g. F1234567A



Mobile
Office
Home

MAS Notice 314 on Prevention of Money Laundering and Countering the Financing of Terrorism

You are required to provide the following documents for the insured person named in this application and who is covered under this plan:

  1. Singaporean or Singapore Permanent Resident: a clear photocopy (front and back) of the National Registration Identity Card (NRIC)
  2. Others: a clear photocopy (front and back) of the work pass and identity card

You can only upload the following file formats: .jpg,.jpeg,.pdf

Maximum file size is 500 kb per file

Please note that personal particulars keyed in this form will not overwrite any existing records that you have with Income. For changes to be made to your particulars, please log into me@income, 'Manage My Particulars' section.

Particulars of lives insured

e.g. S1234567A
e.g. F1234567A
Metres
Kilograms
Apply for first year complimentary LUV Basic cover with a sum assured of $50,000 (Plan 2)

Note: Each NTUC member shall only be eligible for a one-time, first year complimentary LUV Basic cover, regardless of the number of applications submitted for LUV Policy. Terms and conditions of the Promotions are as set out www.income.com.sg/luvforyou.

Type of cover

Basic

Type of plan

Plan 2 - $50,000

Premium payment frequency

Yearly

Please complete the section below if you like to purchase additional LUV Basic or LUV Deluxe cover (the "LUV Policy").

Note: Payment will be payable via GIRO and is in accordance to the terms of your policy for any additional LUV Policies issued to you.

Questionnaire for the lives insured

Health declaration of
Deluxe cover questionnaire
Others

Payment details

Personal data use statement (A copy of this authorisation is valid as an original copy)

Declaration and authorisation

Others

Particulars of proposer (NTUC member)

<div class="row autoFillContainer"> <div class="col-12"> <div class="fill"> <label>Name</label> <p>{Name}</p> </div> <div class="fill"> <label>NRIC number or FIN</label> <p>{NRICFIN}</p> </div> <div class="fill"> <label>Date of birth</label> <p>{DOB}</p> </div> <div class="fill"> <label>Nationality</label> <p>{NationalDesc}</p> </div> <div class="fill"> <label>Nationality of SG PR</label> <p>{NationalPRDesc}</p> </div> <div class="fill"> <label>Gender</label> <p>{GenderDesc}</p> </div> <div class="fill"> <label>Marital status</label> <p>{MaritalStatusDesc}</p> </div> <div class="fill"> <label>Occupation</label> <p>{OccupationDesc}</p> </div> <div class="fill"> <label>Address</label> <p>{Address}</p> </div> <div class="row fill"> <div class="col-3"> <label>Postal code</label> <p>{PostalCode}</p> </div> <div class="col-3"> <label>Unit number</label> <p>{UnitNumber}</p> </div> </div> <div class="row fill"> <div class="col-12"> <label>Contact number</label></div> <div class="col-4 col-md-3"> <p>{MobilePhone}</p> <p class="optional">Mobile</p> </div> <div class="col-4 col-md-3"> <p>{OfficePhone}</p> <p class="optional">Office</p> </div> <div class="col-4 col-md-3"> <p>{HomePhone}</p> <p class="optional">Home</p> </div> </div> <div class="fill"> <label>Email</label> <p>{Email}</p> </div> </div> </div>

Particulars of life assured

<div class="row autoFillContainer"> <div class="col-12"> <div class="fill"> <label>Name of the proposer</label> <p>{Name}</p> </div> <div class="fill"> <label>NRIC number or FIN</label> <p>{NRICFIN}</p> </div> <div class="fill"> <label>Nationality</label> <p>{NationalDesc}</p> </div> <div class="fill"> <label>Nationality of SG PR</label> <p>{NationalPRDesc}</p> </div> <div class="fill"> <label>Gender</label> <p>{GenderDesc}</p> </div> <div class="fill"> <label>Race</label> <p>{Race}</p> </div> <div class="fill"> <label>Date of birth</label> <p>{DOB}</p> </div> <div class="row fill"> <div class="col-3"> <label>Height</label> <p>{Height}</p> </div> <div class="col-3"> <label>Weight</label> <p>{Weight}</p> </div> </div> <div class="fill"> <label>Name of company</label> <p>{CompanyNameStr}</p> </div> <div class="fill"> <label>Occupation</label> <p>{OccupationDesc}</p> </div> <div class="fill"> <label>Apply for first year complimentary LUV Basic cover with a sum assured of $50,000 (Plan 2) </label> <p>Note: Each NTUC member shall only be eligible for a one-time, first year complimentary LUV Basic cover, regardless of the number of application submitted for LUV policy. Terms and conditions of the Promotion are as set out <a href="https://www.income.com.sg/luvforyou" class="notSquare link_underline" target="_blank">www.income.com.sg/luvforyou</a></p> </div> <div class="fill"> <label>Type of cover</label> <p>Basic</p> </div> <div class="fill"> <label>Type of plan</label> <p>Plan 2 - $50,000</p> </div> <div class="fill"> <label>Premium payment frequency</label> <p>Yearly</p> </div> <div class="fill"> <label>Do you want to purchase additional LUV coverage?</label> <p>{AddAdditionalLUVDesc}</p> </div> <div class="fill additionalLUVplan"> <label>Type of cover</label> <p>{CoverTypeDesc}</p> </div> <div class="fill additionalLUVplan"> <label>Type of plan</label> <p>{PlanTypeDesc}</p> </div> </div> </div>

Health declaration of

<div class="fill {Name}"> <label>{Question}</label><p>{Answer}.</p> {OtherHTML}</div></div>
<hr /> <h6>Deluxe cover questionnaire</h6>

Premium

<div class="row"> <div class="col-sm-8"> <label>Premium payment mode</label></div> <div class="col-sm-4 text-right"> <label>Yearly</label></div> </div> <div class="row"> <div class="col-sm-8"> <p>Proposer premium - First year complimentary LUV</br>Basic cover (Plan 2 - $50,000)</p> </div> <div class="col-sm-4 text-right"> <p>S$ 0.00</p> </div> </div> <div id="divAdditionalCover"> <div class="row"> <div class="col-sm-8" id="premium-name"> <label>Premium payment mode for additional LUV coverage</label></div> <div class="col-sm-4 text-right"> <label>{PremiumMode}</label></div> </div> <div class="row"> <div class="col-sm-8 additional-cover"> <p>Proposer premium - Additional LUV {CoverTypeDesc} cover ({PlanTypeDesc})</p> </div> <div class="col-sm-4 text-right cost-list"> </div> </div> </div> <hr /> <div class="row"> <div class="col-sm-8"> <label>Total premium for your cover</label></div> <div class="col-sm-4 text-right total-cost"></div> </div>

The premium quoted for each insured is before any discounts (if applicable).

Premium quote

GIRO application

Before the expiry of the first year complimentary cover, you may apply for GIRO via me@income (https://me.income.com.sg) and get an instant approval if you are paying your policy renewal premiums using a DBS/POSB account. The certificate number will be provided in the policy issued to you.

Alternatively, you may download the GIRO application form and mail the completed form to Group Business – Affinity Schemes, Income Centre, 75 Bras Basah Road, Singapore 189557.

Success!

<p>We have received your LUV application!</p><p> <label>Reference number:</label> {RefCode}</p><p>Your application has been sent for underwriting approval and you will receive an email notification once your application has been approved. If you have purchased additional LUV coverage, your premium will be deducted from your GIRO account with us. </p><p>Please refer to our <a href="https://www.income.com.sg/life-insurance/luv" class="notSquare">frequently asked questions</a> for more information on LUV plan</p><p>For any enquiries,<br>Please call us at Income (<a href="tel: 63321133">6332 1133</a>), (Mon - Fri 9.00 am – 5.50 pm) or email to <a href="mailto:healthcare@income.com.sg" class="notSquare">healthcare@income.com.sg</a>.</p><p>Thank you.</p><div class="row"><div class="col-12"><div class="orange-container"><p>Please note that personal particulars keyed in this form will not overwrite any existing records that you have with Income. For changes to be made to your particulars, please log into <a href="https://me.income.com.sg/" class="notSquare">me@income</a>, 'Manage My Particulars' section.</p></div></div></div><div class="row bannerImg"><div class="col-md-8 col-12 float-none mx-auto"><img src="/NTUCIncome/media/NTUCIncome/Banners/INCOME-Digital-Banner-627x287-3.jpg"></div></div>
loading