Elimisha Calculator

KCB Elimisha

Product Details Personal Details Purchase

Duration

Policy Period

Sum Assured

Joint Policy

Preferred Communication channel

Mode of Payment

Full Name

Mobile Number

National ID

KRA PIN

Gender

Male
Female

Date of Birth

Physical Address

Town

P.O. Box

Postal Code

Sales Agent (Optional)

Second Life Assured

Partner Full Name

Partner ID Number

Partner KRA Pin No

Partner Date of Birth

Partner Postal Address

Upload Supporting Documents

Please attach the following documents in PDF, JPG or PNG format to complete your purchase.

(Please note: If you accidently upload a wrong document you can remove it by clicking on the choose file button to upload the right document, this automatically replaces the incorrect document. The uploaded document will only be saved once you complete the buy process)

National ID/Passport*

Choose file Max 5mb No File Chosen
Spouse National ID

Choose file Max 5mb No File Chosen
Child/Children ID/Birth Certificate

Choose file Max 5mb No File Chosen

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Product Details

Sum Assured:
Duration:
Policy Period: years

Customer Details

Customer Name:
Email Address:
Mobile No:
National ID:
PIN No:
Gender:
DOB:
Physical Address:
Postal Address:

Attached Documents

ID File:
Spouse ID File:
Child Birth Cert(s):

Declaration

I declare that the information I have entered is accurate.
I declare that I have read the Terms & Conditions of the Product
I will Send the Signed proposal form within the next 30 days or my insurance cover will automatically be downgraded to a Third Party Only (TPO) cover.
I confirm that the email address provided is mine and I acknowledge that KCBIA can contact me to verify the same.
I agree to the terms that if the insurance payment is via cheque or Bank deposit, the start date of the policy will be the date the funds clear into the company’s account irrespective of the date provided in the proposal form.
The documents received are pending a review for verification and cover will be provided after successfully verification usually within 24 HRS
I accept all the above declarations

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Summary

Product Details

Sum Assured:

Duration:

Policy Period: years

Personal Details

First Name:
Last Name:
Email Address:
ID Number:
Phone Number:
KRA PIN:
DoB:
physical Address:
town:
po box:
postal code:

Declaration

I declare that the information I have entered is accurate.
I declare that I have read the Terms & Conditions of the Product
I will Send the Signed proposal form within the next 30 days or my insurance cover will automatically be downgraded to a Third Party Only (TPO) cover.
I confirm that the email address provided is mine and I acknowledge that KCBIA can contact me to verify the same.
The documents received are pending a review for verification and cover will be provided after successfully verification usually within 24 HRS
I agree to the terms that if the insurance payment is via cheque or Bank deposit, the start date of the policy will be the date the funds clear into the company’s account irrespective of the date provided in the proposal form.
I accept all the above declarations

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1. Select a KCB Branch where you would love to collect your Insurance from:

Branch

2. Select your preferred payment method

Print & Download Policy Receipt

You will need this policy receipt when collecting your sticker. Complete purchase and check your email for the filled form.

Sum Assured

Print Receipt

Complete purchase

Check your phone for M-PESA payment request, Enter your M-PESA pin to complete transaction and Check the payment status.

Payment Cancelled

Payment has been cancelled

Sum Assured

Total Premium

Impairment
Critical illness
Retrenchment
Double Accident

Add extra benefits to enhance your insurance policy from break down services to excess protectors.

The loss of physical or mental function as a result of an injury or illness.
Impairment
Cover against life threatening diseases like cancer, stroke, heart attack and so on.
Critical illness
Dismissal from work.
Retrenchment
Receive double the sum assured, in case of death through an accident.
Double Accident

KCB Elimisha

Thank You

Second Life Assured

Upload Supporting Documents

Summary

Product Details

Customer Details

Attached Documents

Declaration

Summary

Declaration

Print & Download Policy Receipt

Payment Cancelled

Insurance Cart

Add Extra Benefits

Insurance Cart

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