NO POLIS NAMA POLIS INDEX NAMA PESERTA

01-30051 PT.ACA QQ.BKSY 3016 A M KARMELIA SRIYANI

01-30051 PT.ACA QQ.BKSY 8723 BA. RORY ANGGA SURYA
01-30051 PT.ACA QQ.BKSY 12071 HENDRA GUNAWAN
01-30051 PT.ACA QQ.BKSY 12756 SUHERMAN
01-30051 PT.ACA QQ.BKSY 20602 R. KUSRIYONO S.
01-30051 PT.ACA QQ.BKSY 20667 SIMON MUNDE
01-30051 PT.ACA QQ.BKSY 22557 SAERAH
01-30051 PT.ACA QQ.BKSY 26043 HANTO LAIMAN
01-30051 PT.ACA QQ.BKSY 26110 Y.B. GUNARTO
01-30051 PT.ACA QQ.BKSY 27847 YOHANES MARSUDIN
01-30051 PT.ACA QQ.BKSY 28149 ANDY SURYADI
01-30051 PT.ACA QQ.BKSY 30436 IRWAN SUTIKMAN
01-30051 PT.ACA QQ.BKSY 33736 SRI LESTARI
01-30051 PT.ACA QQ.BKSY 36220 DARTOPO BUNHARDY
01-30051 PT.ACA QQ.BKSY 36296 DRS. AV. KRISJIANTO. MM
01-30051 PT.ACA QQ.BKSY 38123 F. BAMBANG SUGENG
01-30051 PT.ACA QQ.BKSY 38765 MARKUS PANDEAN
01-30051 PT.ACA QQ.BKSY 47716 MULYADI HADI SEPUTRO
01-30051 PT.ACA QQ.BKSY 48105 TAN SIAW SIONG. ALIAS ROBY
01-30051 PT.ACA QQ.BKSY 51585 MONICA MAIMUNAH
01-30051 PT.ACA QQ.BKSY 51806 PJ MANORSA SIMANULANG
01-30051 PT.ACA QQ.BKSY 53633 ANITA SUSANTI
01-30051 PT.ACA QQ.BKSY 55810 DIAN PRASANTI DEWI
01-30051 PT.ACA QQ.BKSY 55988 IR. BENEDICTUS SABINUS SETUSO
01-30051 PT.ACA QQ.BKSY 55997 CARL ROY TUWANKOTTA
01-30051 PT.ACA QQ.BKSY 56430 YOSEP AGUS TIARTO
01-30051 PT.ACA QQ.BKSY 56610 YOHANNES EKO PUJI PRIYANTO
01-30051 PT.ACA QQ.BKSY 56651 THERESIA YANTI AGUSTINA
01-30051 PT.ACA QQ.BKSY 57082 AUGUST SAPUTRA SURYA
01-30051 PT.ACA QQ.BKSY 57334 GIANTO
01-30051 PT.ACA QQ.BKSY 57509 B. BETTY SETIANINGSIH
01-30051 PT.ACA QQ.BKSY 57754 JUNIANTO TJAHJONO
01-30051 PT.ACA QQ.BKSY 57764 YOHANES EDI WIJONO
01-30051 PT.ACA QQ.BKSY 58360 TATI DJAROT
01-30051 PT.ACA QQ.BKSY 58514 DJIE JOHAN
01-30051 PT.ACA QQ.BKSY 58534 NENENG MULYANI ARIFIN
01-30051 PT.ACA QQ.BKSY 58590 WARSIYAH
01-30051 PT.ACA QQ.BKSY 58857 LILIK SETIAWATI
01-30051 PT.ACA QQ.BKSY 58872 PHONG TJHAN LAM
01-30051 PT.ACA QQ.BKSY 59302 Y. HERI YULIANTO
01-30051 PT.ACA QQ.BKSY 59736 F. SLAMET BUDISOYO
01-30051 PT.ACA QQ.BKSY 59863 CHR SUPARMI
01-30051 PT.ACA QQ.BKSY 60742 SRI WIBAWANI
01-30051 PT.ACA QQ.BKSY 60784 NOVIANI JOKO SUBAGYO
01-30051 PT.ACA QQ.BKSY 61008 ST.PURWIYADI
01-30051 PT.ACA QQ.BKSY 61025 TRISNO UTOMO
01-30051 PT.ACA QQ.BKSY 61078 NURSEHA SANDJAYA
01-30051 PT.ACA QQ.BKSY 61178 G DYAH MEITA HAPSARI
01-30051 PT.ACA QQ.BKSY 61332 HENDRA ADLI
01-30051 PT.ACA QQ.BKSY 61381 M.SRI REDJEKI
01-30051 PT.ACA QQ.BKSY 61515 YULIUS BARAHAMA
01-30051 PT.ACA QQ.BKSY 61693 OKTAVIANUS DIDIT KUSTANTO
01-30051 PT.ACA QQ.BKSY 61777 RUBIANTO
01-30051 PT.ACA QQ.BKSY 62076 WIDIYASTUTI
01-30051 PT.ACA QQ.BKSY 62727 MATEUS SUNGADIYANTO
01-30051 PT.ACA QQ.BKSY 63108 DANANG IHSAN SYARIF
01-30051 PT.ACA QQ.BKSY 63690 NAWAWI
01-30051 PT.ACA QQ.BKSY 64311 EVI MARIA MAGDALENA
01-30051 PT.ACA QQ.BKSY 64319 F. SRI SUDEWI
01-30051 PT.ACA QQ.BKSY 64459 KAROLUS HAMBUR
01-30051 PT.ACA QQ.BKSY 64523 MARIA IMMAKULATA AKUTANTI
01-30051 PT.ACA QQ.BKSY 65129 ANDAYANI
CISCA TARUDJI SURJA
01-30051 PT.ACA QQ.BKSY 65162 SUGANDA SILALAHI
01-30051 PT.ACA QQ.BKSY 65350 RICO EKA WAHYU HUDIWIJONO
01-30051 PT.ACA QQ.BKSY 65405 JULIANI SOEDJONO
01-30051 PT.ACA QQ.BKSY 66710 PAULUS KENDY
01-30051 PT.ACA QQ.BKSY 66717 MAMAT
01-30051 PT.ACA QQ.BKSY 66724 HENRY SALASSA GO
01-30051 PT.ACA QQ.BKSY 66734 HERMANTO TONNY
01-30051 PT.ACA QQ.BKSY 67247 M.DAMINI SUWITO PAGI
01-30051 PT.ACA QQ.BKSY 67496 GUNAWAN PERMADI
01-30051 PT.ACA QQ.BKSY 67562 CH.AGUSTINA SRI RETNOWATI
01-30051 PT.ACA QQ.BKSY 67713 SUSILOWATI PRASETYO
01-30051 PT.ACA QQ.BKSY 67908 MARIA ADELINA SARAGIH
01-30051 PT.ACA QQ.BKSY 68023 ANASTASIA NITA IRAWATI
01-30051 PT.ACA QQ.BKSY 68033 NICO SUKAMTO
01-30051 PT.ACA QQ.BKSY 68052 LIDIA SUHENDRA ADHI S
01-30051 PT.ACA QQ.BKSY 68285 SUTINAH SUWARDI
01-30051 PT.ACA QQ.BKSY 68675 PASKALIS SIUS
01-30051 PT.ACA QQ.BKSY 68727 YULIANA NASIA
01-30051 PT.ACA QQ.BKSY 68815 AGUSTINUS BENYAMIN CHARLES
01-30051 PT.ACA QQ.BKSY 69077 HALE
DJONNY TJANDRAWAN
01-30051 PT.ACA QQ.BKSY 69331 RINI SATYANI ANGELA MIRICI
01-30051 PT.ACA QQ.BKSY 69523 YULI AMBARWATI
01-30051 PT.ACA QQ.BKSY 69653 MARGARETA SUYATMI
01-30051 PT.ACA QQ.BKSY 69672 TOMAS TAUB
01-30051 PT.ACA QQ.BKSY 70255 SUNARTO
01-30051 PT.ACA QQ.BKSY 70455 ERIJANTO SUHANTO
01-30051 PT.ACA QQ.BKSY 70982 AGNES AGATA
01-30051 PT.ACA QQ.BKSY 71326 WILIOW
01-30051 PT.ACA QQ.BKSY 71536 DRS.IGN.EDI WINARTO
01-30051 PT.ACA QQ.BKSY 71693 JUMINTEN
01-30051 PT.ACA QQ.BKSY 71953 ANTON SUJATNO
01-30051 PT.ACA QQ.BKSY 72568 WINDUNO, IR, M.ENG, SC
01-30051 PT.ACA QQ.BKSY 72594 GINI SANTOSO
01-30051 PT.ACA QQ.BKSY 72739 YOSEPHINE ENDAH EKOWATI
01-30051 PT.ACA QQ.BKSY 73322 M.EKA ANGGOROWATI
01-30051 PT.ACA QQ.BKSY 73408 ERICK CHRISTANTO DARMADJI
01-30051 PT.ACA QQ.BKSY 73583 HERJANTO THAMRIN
01-30051 PT.ACA QQ.BKSY 74246 RUDY ANTONIUS R. ISMAIL
01-30051 PT.ACA QQ.BKSY 74713 HM ENDANG DWI MURYANI
01-30051 PT.ACA QQ.BKSY 74745 CHRISTINA SUYATIN
01-30051 PT.ACA QQ.BKSY 74930 YOYOK ADRIANTO KURNIAWAN
01-30051 PT.ACA QQ.BKSY 75068 VALENTINA PUDJI SETYANINGTYAS
01-30051 PT.ACA QQ.BKSY 75169 FREDERICUS INDANU DWI ROYANTO
A PESERTA ENTRY DATE MATURE DATE KLAIM DATE VAL DATE KLAIM YG DIPROSES TYPE KLAIM
RIYANI 15/09/2014 99/99/9999 05/05/2021 27/02/2021 10,000,000.00 DEATH
A SURYA 15/09/2014 99/99/9999 26/07/2021 30/06/2021 10,000,000.00 DEATH
WAN 15/09/2014 99/99/9999 29/03/2021 17/02/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 27/08/2021 11/07/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 19/01/2021 10/12/2020 10,000,000.00 DEATH
15/09/2014 99/99/9999 18/05/2021 17/04/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 05/05/2021 24/03/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 19/01/2021 22/11/2020 10,000,000.00 DEATH
15/09/2014 99/99/9999 19/01/2021 05/12/2020 10,000,000.00 DEATH
UDIN 15/09/2014 99/99/9999 03/08/2021 24/06/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 17/02/2021 10/01/2021 10,000,000.00 DEATH
N 15/09/2014 99/99/9999 17/03/2021 21/01/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 25/08/2021 18/07/2021 10,000,000.00 DEATH
ARDY 15/09/2014 99/99/9999 15/03/2021 30/12/2020 10,000,000.00 DEATH
NTO. MM 15/09/2014 99/99/9999 21/08/2021 18/07/2021 10,000,000.00 DEATH
GENG 15/09/2014 99/99/9999 04/03/2021 15/01/2021 10,000,000.00 DEATH
AN 15/09/2014 99/99/9999 21/10/2021 06/09/2021 10,000,000.00 DEATH
EPUTRO 15/09/2014 99/99/9999 17/02/2021 27/12/2020 10,000,000.00 DEATH
G. ALIAS ROBY 15/09/2014 99/99/9999 17/03/2021 13/01/2021 10,000,000.00 DEATH
NAH 15/09/2014 99/99/9999 15/04/2021 17/03/2021 10,000,000.00 DEATH
MANULANG 15/09/2014 99/99/9999 15/03/2021 20/01/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 27/08/2021 16/07/2021 10,000,000.00 DEATH
DEWI 15/09/2014 99/99/9999 22/04/2021 17/01/2021 10,000,000.00 DEATH
SABINUS SETUSO 15/09/2014 99/99/9999 02/09/2021 08/07/2021 10,000,000.00 DEATH
NKOTTA 15/09/2014 99/99/9999 24/03/2021 22/01/2021 10,000,000.00 DEATH
RTO 15/09/2014 99/99/9999 17/02/2021 28/12/2020 10,000,000.00 DEATH
PUJI PRIYANTO 15/09/2014 99/99/9999 18/05/2021 07/03/2021 10,000,000.00 DEATH
AGUSTINA 15/09/2014 99/99/9999 20/01/2021 29/12/2020 10,000,000.00 DEATH
A SURYA 15/09/2014 99/99/9999 24/03/2021 19/02/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 15/04/2021 20/03/2021 10,000,000.00 DEATH
INGSIH 15/09/2014 99/99/9999 01/02/2021 17/12/2020 10,000,000.00 DEATH
ONO 15/09/2014 99/99/9999 23/02/2021 14/01/2021 10,000,000.00 DEATH
JONO 15/09/2014 99/99/9999 03/02/2021 12/01/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 24/03/2021 03/02/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 15/04/2021 13/02/2021 10,000,000.00 DEATH
NI ARIFIN 15/09/2014 99/99/9999 24/03/2021 18/10/2020 10,000,000.00 DEATH
15/09/2014 99/99/9999 16/02/2021 05/12/2020 10,000,000.00 DEATH
15/09/2014 99/99/9999 07/10/2021 29/08/2021 10,000,000.00 DEATH
AM 15/09/2014 99/99/9999 15/04/2021 07/02/2021 10,000,000.00 DEATH
O 15/09/2014 99/99/9999 17/03/2021 19/01/2021 10,000,000.00 DEATH
OYO 15/09/2014 99/99/9999 01/02/2021 23/10/2020 10,000,000.00 DEATH
15/09/2014 99/99/9999 03/06/2021 28/03/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 23/02/2021 19/01/2021 10,000,000.00 DEATH
UBAGYO 15/09/2014 99/99/9999 16/07/2021 21/06/2021 10,000,000.00 DEATH
 15/09/2014 99/99/9999 10/09/2021 07/08/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 17/08/2021 10/07/2021 10,000,000.00 DEATH
AYA 15/09/2014 99/99/9999 28/07/2021 29/06/2021 10,000,000.00 DEATH
APSARI 15/09/2014 99/99/9999 28/01/2021 14/12/2020 10,000,000.00 DEATH
15/09/2014 99/99/9999 19/10/2021 30/06/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 09/09/2021 27/06/2021 10,000,000.00 DEATH
MA 15/09/2014 99/99/9999 05/07/2021 04/06/2021 10,000,000.00 DEATH
DIT KUSTANTO 15/09/2014 99/99/9999 23/02/2021 12/12/2020 10,000,000.00 DEATH
15/09/2014 99/99/9999 09/09/2021 09/08/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 07/09/2021 27/06/2021 10,000,000.00 DEATH
DIYANTO 15/09/2014 99/99/9999 28/01/2021 22/11/2020 10,000,000.00 DEATH
SYARIF 15/09/2014 99/99/9999 28/01/2021 30/11/2020 10,000,000.00 DEATH
15/09/2014 99/99/9999 16/06/2021 05/05/2021 10,000,000.00 DEATH
DALENA 15/09/2014 99/99/9999 03/06/2021 30/03/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 26/04/2021 22/02/2021 10,000,000.00 DEATH
UR 15/09/2014 99/99/9999 12/07/2021 24/05/2021 10,000,000.00 DEATH
LATA AKUTANTI 15/09/2014 99/99/9999 07/09/2021 03/08/2021 10,000,000.00 DEATH
URJA 15/09/2014 99/99/9999 15/04/2021 23/03/2021 10,000,000.00 DEATH
AHI 15/09/2014 99/99/9999 21/08/2021 08/07/2021 10,000,000.00 DEATH
U HUDIWIJONO 15/09/2014 99/99/9999 25/08/2021 23/07/2021 10,000,000.00 DEATH
NO 15/09/2014 99/99/9999 15/04/2021 18/02/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 30/08/2021 10/07/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 03/08/2021 17/06/2021 10,000,000.00 DEATH
GO 15/09/2014 99/99/9999 21/08/2021 14/07/2021 10,000,000.00 DEATH
NY 15/09/2014 99/99/9999 09/08/2021 09/07/2021 10,000,000.00 DEATH
TO PAGI 15/09/2014 99/99/9999 17/08/2021 28/06/2021 10,000,000.00 DEATH
MADI 15/09/2014 99/99/9999 17/08/2021 09/06/2021 10,000,000.00 DEATH
I RETNOWATI 15/09/2014 99/99/9999 22/03/2021 21/01/2021 10,000,000.00 DEATH
ASETYO 15/09/2014 99/99/9999 20/09/2021 23/06/2021 10,000,000.00 DEATH
SARAGIH 15/09/2014 99/99/9999 07/10/2021 11/09/2021 10,000,000.00 DEATH
IRAWATI 15/09/2014 99/99/9999 23/09/2021 27/06/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 19/05/2021 15/02/2021 10,000,000.00 DEATH
ADHI S 15/09/2014 99/99/9999 15/04/2021 09/02/2021 10,000,000.00 DEATH
RDI 15/09/2014 99/99/9999 01/10/2021 29/07/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 21/09/2021 01/09/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 10/09/2021 24/07/2021 10,000,000.00 DEATH
YAMIN CHARLES 15/09/2014 99/99/9999 02/07/2021 03/06/2021 10,000,000.00 DEATH
AWAN 15/09/2014 99/99/9999 19/10/2021 30/06/2021 10,000,000.00 DEATH
GELA MIRICI 15/09/2014 99/99/9999 20/09/2021 26/07/2021 10,000,000.00 DEATH
TI 15/09/2014 99/99/9999 13/10/2021 24/07/2021 10,000,000.00 DEATH
YATMI 15/09/2014 99/99/9999 26/04/2021 23/03/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 21/08/2021 15/07/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 28/09/2021 14/08/2021 10,000,000.00 DEATH
NTO 15/09/2014 99/99/9999 28/09/2021 01/07/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 26/07/2021 03/07/2021 10,000,000.00 DEATH
 15/09/2014 99/99/9999 17/08/2021 15/07/2021 10,000,000.00 DEATH
NARTO 15/09/2014 99/99/9999 03/08/2021 13/06/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 27/08/2021 22/07/2021 10,000,000.00 DEATH
O 15/09/2014 99/99/9999 07/10/2021 19/08/2021 10,000,000.00 DEATH
.ENG, SC 15/09/2014 99/99/9999 03/09/2021 10/07/2021 10,000,000.00 DEATH
15/09/2014 99/99/9999 07/09/2021 02/07/2021 10,000,000.00 DEATH
AH EKOWATI 15/09/2014 99/99/9999 27/09/2021 07/07/2021 10,000,000.00 DEATH
OWATI 15/09/2014 99/99/9999 09/08/2021 28/06/2021 10,000,000.00 DEATH
TO DARMADJI 15/09/2014 99/99/9999 09/09/2021 13/07/2021 10,000,000.00 DEATH
MRIN 15/09/2014 99/99/9999 21/10/2021 10/07/2021 10,000,000.00 DEATH
R. ISMAIL 15/09/2014 99/99/9999 17/08/2021 18/07/2021 10,000,000.00 DEATH
WI MURYANI 15/09/2014 99/99/9999 22/10/2021 25/08/2021 0.00 DEATH
TIN 15/09/2014 99/99/9999 02/09/2021 14/07/2021 10,000,000.00 DEATH
O KURNIAWAN 15/09/2014 99/99/9999 22/10/2021 23/07/2021 0.00 DEATH
JI SETYANINGTYAS 15/09/2014 99/99/9999 28/09/2021 22/08/2021 0.00 DEATH
ANU DWI ROYANTO 15/09/2014 99/99/9999 13/10/2021 29/08/2021 10,000,000.00 DEATH
 TYPE KLAIM NO DCN STATUS PEMBAYARAN TANGGAL PAID
DEATH 312521 P 11/05/2021
DEATH 313717 P 02/08/2021
DEATH 311734 P 05/04/2021
DEATH 314329 P 05/10/2021
DEATH 310426 P 22/01/2021
DEATH 312657 P 21/05/2021
DEATH 312520 P 10/06/2021
DEATH 310424 P 22/01/2021
DEATH 310428 P 22/01/2021
DEATH 313842 P 09/08/2021
DEATH 310883 P 23/02/2021
DEATH 311518 P 05/04/2021
DEATH 314296 P 01/09/2021
DEATH 311428 P 18/03/2021
DEATH 314250 P 05/10/2021
DEATH 311243 P 09/03/2021
DEATH 315616 P 28/10/2021
DEATH 310881 P 23/02/2021
DEATH 311517 P 23/03/2021
DEATH 312127 P 20/04/2021
DEATH 311429 P 03/06/2021
DEATH 314326 P 02/09/2021
DEATH 312234 P 27/04/2021
DEATH 314462 P 09/09/2021
DEATH 311648 P 30/03/2021
DEATH 310885 P 23/02/2021
DEATH 312655 P 24/05/2021
DEATH 310445 P 26/01/2021
DEATH 311652 P 30/03/2021
DEATH 312122 P 20/04/2021
DEATH 310555 P 05/02/2021
DEATH 311022 P 19/03/2021
DEATH 310621 P 08/02/2021
DEATH 311651 P 30/03/2021
DEATH 312123 P 20/04/2021
DEATH 311649 P 30/03/2021
DEATH 310880 P 23/02/2021
DEATH 315277 P 14/10/2021
DEATH 312125 P 20/04/2021
DEATH 311516 P 23/03/2021
DEATH 310553 P 05/02/2021
DEATH 312862 P 08/06/2021
DEATH 622049 P 26/02/2021
DEATH 313536 P 23/07/2021
DEATH 314686 P 16/09/2021
DEATH 314138 P 25/08/2021
DEATH 313790 P 04/08/2021
DEATH 310537 P 02/02/2021
DEATH 315520 P 26/10/2021
DEATH 314693 P 16/09/2021
DEATH 313375 P 09/07/2021
DEATH 622046 P 26/02/2021
DEATH 314700 P 16/09/2021
DEATH 314570 P 14/09/2021
DEATH 310535 P 02/02/2021
DEATH 310536 P 02/02/2021
DEATH 313140 P 23/06/2021
DEATH 312925 P 10/06/2021
DEATH 312260 P 29/04/2021
DEATH 313490 P 20/08/2021
DEATH 314575 P 14/09/2021
DEATH 312121 P 20/04/2021
DEATH 314265 P 31/08/2021
DEATH 314294 P 01/09/2021
DEATH 312124 P 20/04/2021
DEATH 314372 P 06/09/2021
DEATH 313843 P 09/08/2021
DEATH 314252 P 31/08/2021
DEATH 313990 P 18/08/2021
DEATH 314130 P 25/08/2021
DEATH 314129 P 25/08/2021
DEATH 311561 P 10/06/2021
DEATH 314889 P 28/09/2021
DEATH 315278 P 14/10/2021
DEATH 314993 P 30/09/2021
DEATH 312670 P 24/05/2021
DEATH 312126 P 10/06/2021
DEATH 315215 P 07/10/2021
DEATH 314946 P 28/09/2021
DEATH 314687 P 28/09/2021
DEATH 313368 P 09/07/2021
DEATH 315610 P 28/10/2021
DEATH 314887 P 28/09/2021
DEATH 315376 P 21/10/2021
DEATH 312263 P 28/06/2021
DEATH 314268 P 31/08/2021
DEATH 315140 P 06/10/2021
DEATH 315210 P 07/10/2021
DEATH 313716 P 02/08/2021
DEATH 314139 P 25/08/2021
DEATH 313844 P 20/08/2021
DEATH 314328 P 02/09/2021
DEATH 315318 P 15/10/2021
DEATH 314466 P 06/10/2021
DEATH 314569 P 06/10/2021
DEATH 315017 P 05/10/2021
DEATH 313988 P 28/09/2021
DEATH 314690 P 05/10/2021
DEATH 315613 P 28/10/2021
DEATH 314136 P 05/10/2021
DEATH 315659 00/00/0000
DEATH 314460 P 05/10/2021
DEATH 315662 00/00/0000
DEATH 315141 00/00/0000
DEATH 315371 P 21/10/2021
NO CABANG NAMA PP TYPE POLIS NO.POLIS INDEX START.DATE
1 RETAIL CH AGUSTINA SRI RETNOWATI PT ACA QQ BKSY BJG 01-30051 23228 28-Feb-2016
2 RETAIL SRI RAHAYU PT ACA QQ BKSY BJG 01-30051 60723 19-Aug-2020
3 RETAIL JOHNNY IRWANTO SETIOMIGUNO PT ACA QQ BKSY BJG 01-30051 55288 13-Feb-2020
4 RETAIL JANET WIJAYA PT ACA QQ BKSY BJG 01-30051 72094 27-May-2021
5 RETAIL MARIA ELIZABETH WIDJAJA PT ACA QQ BKSY BJG 01-30051 69583 11-Mar-2021
6 RETAIL NY. CRESENTIA SUNARMI PT ACA QQ BKSY BJG 01-30051 66933 13-Jan-2021
 MATURE CLAIM DATE RECEIVE DATE STATUS
29-Jul-2021 21-Jan-2021 3-Mar-2021 CANCEL
19-Aug-2021 22-Mar-2021 9-Jun-2021 NOT VALID
13-Feb-2021 15-Mar-2021 9-Jun-2021 NOT VALID
27-May-2022 23-May-2021 16-Jul-2021 NOT VALID
11-Mar-2022 19-Jun-2021 26-Aug-2021 NOT VALID
13-Jan-2022 4-Jul-2021 26-Aug-2021 NOT VALID
 CAUSE OF CLAIM
PENURUNAN KESADARAN EC SUSP STROKE HEMORRHAGIC
MENINGGAL DUNIA DI RUMAH
GAGAL NAPAS KARENA PENYAKIT INFEKSI
DOA
PENYAKIT MENULAR
 KETERANGAN
DIPROSES 1
DECL : KADALUARSA
DECL : TANGGAL KEJADIAN DILUAR MASA PERTANGGUNGAN
DECL : DILUAR MASA PERTANGGUNGAN
DECL : KADALUARSA
DECL : KADALUARSA