Health Insurance Waiver Template for Malaysia

1. Employer Specific Requirements: Additional terms required by specific employers or institutions - used when the waiver is part of employment documentation

2. Group Policy Provisions: Specific provisions related to group insurance policies - included when waiving coverage under a group policy

3. Dependent Coverage: Details about dependents affected by the waiver - included when the waiver affects family coverage

4. Special Circumstances: Any special conditions or circumstances affecting the waiver - used when non-standard situations apply

5. Reinstatement Rights: Terms for future reinstatement of coverage - included when specific reinstatement rights are offered

6. Religious or Cultural Exemptions: Specific provisions related to religious or cultural reasons for waiving coverage - used when applicable

1. Schedule A - Details of Waived Coverage: Detailed description of the specific insurance coverage being waived, including benefits and premiums

2. Schedule B - Alternative Coverage Details: Information about alternative insurance coverage maintained by the individual

3. Schedule C - Risk Disclosure: Comprehensive list of risks and potential financial implications of waiving coverage

4. Appendix 1 - Required Documentation: List of supporting documents required for the waiver, such as proof of alternative coverage

5. Appendix 2 - Contact Information: Emergency contacts and relevant insurance/healthcare provider information

6. Appendix 3 - Regulatory Disclosures: Required disclosures under Malaysian insurance and healthcare regulations