10. INSURANCE Academic Guidebook FTUI 2014 English for Web

56 - YKPP - Pertamina Tuition Fee

3. 10. INSURANCE

Each st udent enrolled in Universit as Indone- sia for each running semester participate in academic act ivit ies will also be regist ered as an insurance member of PT. Asuransi Jasa Ra - harja. For t hese insured st udent s, t hey are allowed t o submit an insurance claim in accordance with the following provisions: Accident s included wit hin t he insurance • claim are accident s which occurred dur- ing the student’s journey from home to UI campus to participate in academic and ext racurricular act ivit ies whet her it is within or outside of Campus area and with the UIFaculty’s Management’s knowledge and permission. Compensation on claim regarding stu - • dents’ accident is only applicable to those who have paid the DKFM fee for t he semest er. In t he event of an accident , st udent must • report the accident no later than 3x24 hours to the ofice of the Universitas Indonesia Direct orat e of St udent Af f airs Sub Direct orat e of St udent Welf are Ser- vices or the nearest PT Jasa Raharja Of - ice Branch. If after 180 one hundred and eighty • days, the accident is not reported, insur - ance compensation shall be canceled. Compensation claim for victims suffer - • ing from injuries must be submitted by attaching the original and valid receipt from doctorhospitalclinic that treated the student’s injuries. Non-medical care or treatment is not • compensable. St udent s may send t heir inquiries regard- • ing any mat t er t hat are not list ed here di- rectly to the Universitas Indonesia Head of St udent Welf are Sub Direct orat e at t he Central Administration Building, Universi - tas Indonesia Campus, Depok. Compensation Receivable from the Insurance Claim Deat h due t o an accident : Rp. 5.000.000, - Permanent disabilit y due t o accident : Rp. 10.000.000, - Care medical Treatment due to accident maximum payment : Rp. 3.500.000, - Subject about to change without notice Students Faculty Directorate of Student Affairs Start Sponsors companies offer scholarship pro- gram to Universitas Indonesia The information on the scholarship is then posted on www. mahasiswa. ui. ac. id The information will then be shared with Student Affairs division in each faculty Interested and qualiied stu - dents provide all requirement to apply for the scholarship Associate Dean of Student Affairs provide his her recommendation on students who will receive the scholarship. Student pass scholarship selection Associate Dean of Student Affairs rec- ommends students who will receive the scholarship. Final scholarship selection and selec- tion result submission to the scholarship sponsor Scholarship recipient an- nouncement is passed on to the Faculty’s student affairs division Conirmation of scholarship recipi- ents by the sponsor company company Announcement to scholarship recipients Announcement of the scholarship recipients is posted on www. mahasiswa. ui. ac. id or through the Faculty’s Stu- dent Affairs Division inish Flowchart of Scholarship Application Ya Tidak F A C IL IT IE S A N D C A M P U S L IF E 57 Student Faculty Directorate of Students Affairs St art St udent s Experience an Account ed Peril Students ile a report to UPT PLKNearest Police st at ion St udent s request a cover let t er f rom As- sociat e Dean of St udent Af f airs by providing: doct or’ s let t er, a proof of pay - ment , chrono- logical report of event and report from UPT PLKPolice Associat e Dean of St udent Af - f airs submit t he insurance claim t o t he Direct or- at e of St udent Af f airs Direct orat e of St udent Af f airs issues t he cover- ing let t er t o PT. Jasa Raharja Put ra Student iles hisher claim to Jasa Raharja Putra Mampang Branch Ofice, Sout h Jakart a Finish Insurance Claims Process F A C IL IT IE S A N D C A M P U S L IF E Cause Condition Required Document Train Accident Injured 1. A notiication letter from t he Facult y’ s Associat e Dean of St udent Af f airs t o t he Di- rect orat e of St udent s Af f airs. 2. Accident Report issued by the police 3. Treatment report from the at t ending doct or 4. Original receipt from the hospital or the attending physician Deat h 1. A notiication letter from t he Facult y’ s Associat e Dean of St udent Af f airs t o t he Di- rect orat e of St udent s Af f airs. 2. Accident Report issued by the police 3. Accident Report from Polsuska PT. KAI 4. Autopsy report from the hospital 5. Death Certiicate 6. A copy of the victim’s birth certiicate 7. A copy of Family Card 8. Heir certiicate letter from the local district ofice. Road Accident Injured 1. A notiication letter from t he Facult y’ s Associat e Dean of St udent Af f airs t o t he Di- rect orat e of St udent s Af f airs. 2. Accident Report issued by the police 3. Treatment report from the at t ending doct or 4. Original receipt from the hospital or the attending physician and the pharmacy Deat h 1. A notiication letter from t he Facult y’ s Associat e Dean of St udent Af f airs t o t he Di- rect orat e of St udent s Af f airs. 2. Accident Report issued by the police 3. Accident Report from Transportation Agency 4. Autopsy report from the hospital 5. Death Certiicate 6. A copy of the victims birth certiicate 7. A copy of Family Card 8. Heir certiicate letter from the local district ofice. 58

3. 11. GENERAL INFORMATION Post Ofice, Depok Campus