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Automatic Renewal Opt-Out Request Form

At DirectAsia, our annual insurance policies utilise automatic renewal to ensure you receive continuous coverage and prevent lapses in your protection. This is a benefit to our customers, preventing unexpected gaps in coverage. However, we understand that circumstances change. If you would like to opt-out of automatic renewal for your annual insurance policy, please complete and submit this form at least 45 days before the renewal premium deduction date shown on your renewal notice. If your policy is less than 45 days to deduction date, please call Customer Service at 6665 5555 from 9am to 6pm (Mondays to Fridays, excluding public holidays).

Policy Details

Please provide the full policy number without spacing e.g. MT/1234567

Contact Information

Please provide the phone number that is registered with DirectAsia

Reason for Opting Out

Please share your reason for opting out of automatic renewal (select one or provide your own reason)

Confirmation

By submitting this form, I confirm that I want to opt-out of automatic renewal for the above-mentioned policy. I understand that I will need to manually renew my policy or purchase a new one before the current policy expires.