Health Insurance Company - MetLife UAE
To: MetLife
P.O. Box 72578
Dubai U.A.E
Tel No: (+971) 4-4198111
Fax No: (+971) 4-2989586
Date
Subject: Health Insurance Coverage for New Employees under Health Insurance Authority of Abu Dhabi (HAAD) scheme “Undertaking Letter”
Policy No. :
Policy Name:
To Whom It May Concern,
This is to confirm that we, _____________________________________ (Employer and/or Sponsor Name), agree to include the following employee(s) under our insurance policy by submitting the required documents as stated below:
|Employee Name |Date of Employment |Passport Number |Emirates ID No. |
| | | | |
| | | | |
| | | | |
| | | | |
Attached with this form are the compulsory documents requested by MetLife as per HAAD law and regulations:
• Passport copy of the Insured;
• Emirates ID (If the emirate ID is under process a copy of the stamped application form); and
• Copy of Employment VISA;
And one of the following documents will be provided within 2 month grace period from the date of issuance of the health insurance card:
• Copy of Authorized Labor Contract or Copy of Labor Card to be provided (New Employees); or
• For government or semi-government entities, a certificate issued by the employer to confirm the employee is part of the organization.
Abu Dhabi Member moving
Sincerely,
Policy Holder Signature and Stamp
................
................
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