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HEF
paid a great attention to the insurance and advocated
its importance.
The HEF liability insurance will cover
who are involved in 2003 HEF programs which include program
participants, sponsors, organizations or individuals,
teachers and promoters. The liability insurance is a necessary
prerequisite for approval by all school districts and/or
primary school administrations.
HEF offers the free travel protection insurance to those
who have furnished a full payment 60 days prior departure,
your protection for the following -
$500 -Trip cancellation & interruption,
including terrorists and travel supplier financial insolvency
protection
$500 - Travel delay
$100 - Baggage delay
$1000 - Loss of baggage & travel documents
$25000 - Medical expense and emergency medical transportation
$25000 - Accident death & dismemberment
ON-CALL INTERNATIONAL ASSITANCE, including 24-hour medical,
legal and travel assistance.
And optional protection plan -
Participant's Age
(on postmark date) |
Rate |
For
example, a rate of 0.07 equals 7% of Trip Cost or
$7.00 per $100 of Trip Cost.
|
| Age |
-55 |
0.6 |
| Age |
56-75 |
0.7 |
| Age |
76+ |
0.9 |
In China Travel Accident
Insurance Coverage Description
China Life Tourist Accident/Casualty Insurance
Article1. Entire Contract
The entire Tourist Accident/Casualty Insurance contract
(the Policy hereinafter) is made up of the policy, the
application, contract statement and endorsements, written
agreements, documents, riders attached or other insurance
certificate terms and conditions.
Article 2. Eligibility
for This Insurance
1. All tourists, including the tour guide, participating
in the package tour organized by the tour services agencies
registered in the People's Republic of China are entitled
to apply for this insurance.
2. The Insured himself or herself or the individuals
with insurable interest on the Insured can be the applicant.
Article 3. Benefits and
Limitations
In case that the Insured sustains accidental injury or
is stricken by acute diseases while the Policy is in force,
the Company will deliver its benefit payment in accordance
with the following provisions: 1.
Upon the death of the Insured due to the acute illness
or disease itself within 7 days after he or she is stricken,
the Company will pay the death benefit specified in the
Policy and the Contract will automatically terminate.
2. Upon the death of the
insured due to the accidental injury itself within 180
days after the occurrence of accident, the Company will
pay the death benefit specified in the Policy and the
Contract will automatically terminate.
3. In case the Insured
is missing because of the accident and is afterwards declared
dead by the People's Court, the Company will pay the death
benefit specified in the Policy and the Contract will
automatically terminate.
4. If the Insured sustains bodily disability from and
only from the same accidental injury, the Company shall
upon receipt and approval of the proofs, pay a benefit
for the disability provided such disability shall result
within 180 days from the date of the accident. The amount
of benefit is expressed as a percentage of the Sum Insured
as stated on the Schedule of Benefits issued by the People's
Bank of China in 1998. If treatment of such disability
continues beyond 180 days from the date of the accident,
the Company will pay disability benefits according to
its appraisal of the Insured's disability seriousness
on the 180th date from the occurrence of the accident.
In case the Insured sustains more than one type of disability
from the same accident, the Company will pay the sum amount
of all disability item benefits. Whereas when different
items of disability happen to befall on the same hand
or foot, the Company will only indemnify for the disability
with the highest benefit ratio. 5.
When the Insured incurred medical expenses in hospitals
at or above the county level or other medical providers
approved by the Company, the Company will indemnify 80%
of medical expenses within the medical benefits specified
in the Policy with 100 RMB deduction after ascertaining
the amount of medical bills recoverable according to the
local social medical insurance authority.
If the Insured's therapy continues after the Contract
expires, the waiting time for outpatients is 15 days after
the expiration date of the Contract, the maximum waiting
time for inpatient is 90 days after the inpatients are
discharged from hospital.
6. The corpse treatment remains repatriation expenses
insured for the Insured's death from the aforesaid causes,
the Company will indemnify the expenses according to the
actual expenditures within the funeral benefit specified
in the policy.
7. The maximum benefits to be delivered by the Insurer
is the coverage specified in the Policy, therefore when
the one-time benefit payment or the sum of several payments
reach the amount of one coverage, the Company's liability
for this insurance automatically terminates.
Article 4. Exclusions
Benefits shall not apply to any event which causing the
Insured's death, disability or engenders medical expenses
to the Insured:
1. Intentionally inflicted injury or murder of the Insured
by the Applicant or the designated Beneficiary;
2. Violation or attempted violation of the law or resistance
to arrest;
3. Fighting, excessive drinking, suicide, self-inflicted
injury or drug abuse by the Insured;
4. Accidents occurring while or because the Insured is
affected by alcohol, any drugs or restricted medicines;
5. The Insured's driving after drinking or without driving
license or using non validly-registered vehicles.
6. Accidents arising from the Insured's abortion and
childbirth.
7. Any malpractice event arising from cosmetic surgery,
or other surgical or medical operations.
8. Non-prescribed medicine or ointment taken by the Insured.
9. High-risk sports such as scuba diving, parachuting,
rock-climbing, expedition, martial-art contest, wrestling,
stunt performance, horse racing, and car racing.
10. The period of time when the Insured carries AIDS
or is digested HIV positive.
11. War, military activities, riot, or armed rebellion.
12. Nuclear explosion, nuclear radiation or nuclear pollution.
13. Non-medical treatment such as health nursing performed
to the Insured.
14. Home care and in-house care undertaken
to the Insured.
15. Teeth washing, teeth cleaning, optometry,
ocular prosthesis, armature prosthesis, and installation
of artificial limb and hearing-aid.
16. Treatment and rehabilitation of disability
existed prior to the Insured's application.
17. The Insured's hospital transfer without
the Company's prior consent.
18. The Insured leaving the sites of sightseeing
arranged by the tourism agency or taking transportation
means other than that of the tourism agency.
Article
5. Insurance Period
1. The Insurance Period of the Policy
covering the tourists entering China commences from
the time the Insured enters China and takes part in
the itinerary arranged by the tourism services, and
terminates at the time the Insured completes exit formalities
to departing China and ends the journey.
2. The Insurance Period of the Policy
covering the tourists travelling domestically or abroad
commences from the time the Insured boards on the transportation
vehicle arranged by tourism services at specified time,
and terminate at the time the Insured leave the transportation
vehicle arranged by tourism services to end the journey.
3. The Insurance Period ends at the tome
the Insured ceases the specified itinerary when the
Policy is in force.
Article 6. Insurance
Benefits and Premium
Please refer to the appendix for the Schedule of Premium
Rate.
Article 7. Disclosure
and Representation
If the disclosure made by the Applicant/Insured is
intentionally untrue in any respect or is untrue because
of mistake on the part of the Insured/applicant, the
Company has the right to void the Contract when such
unfaithful disclosure and representation affects the
Company underwriting decision.
The Company shall not be held liable
for any accident occurred before the policy is declared
void, and the premium paid will not be refunded if the
misrepresentation and unfaithful disclosure is made
intentionally by the applicant/Insured. If the Applicant/Insured
fails unintentionally to disclose fully all pertinent
information which later found to be critical to the
occurrence of the covered event, the Company is not
liable for any such event occurred before the Policy
is declared void.
Article
8. Beneficiary Designation and Alteration.
Only the heir of the Insured is entitled to the death
benefit; Only the Insured is entitled to the disability
and medical benefits and no other beneficiary designation
or alteration will be accepted by the Company.
Article 9. Notice of
Claim
Written Notice of Claim must be delivered to us by
the Insured, the Applicant or the Beneficiary within
5 days of the accident causing the injury or within
5 days that the claimant should reasonably know of the
accident. Otherwise, the Insured, Applicant or Beneficiary
will be held liable to all added expenses arising from
claim handling and investigation due to the delay in
notification.
Article 10. Benefits
Claim Requirements
A. Upon the death of the Insured, the named Beneficiary
must complete the Benefit Application Form and furnish
the Company with the following proofs and materials
on claiming for the death benefit:
1. The Policy;
2. Residence certificate or identity certificate
of the applying Beneficiary;
3. Evidences of premium payment;
4. Death certificate of the Insured issued
by the local Public Security Bureau or a hospital approved
by the Company, accident investigation report;
5. A copy of the People's Court Decree
declaring the death of the Insured in an accident;
6. The accident proof issued by the tourism
regulatory body;
7. Other evidences and materials pertain
to the nature and cause of the accident as requested
by the Company.
B. In case that the Insured is ascertained
as disabled, the Insured may apply for the disability
benefit by completing the Benefit Application Form and
submitting it to the Company with the following proofs
and materials:
1. the Policy;
2. residence certificate or identity certificate of
the Insured;
3. disability appraisal certificate furnished
by the hospital designated or approved by the Company;
4. the accident proof issued by the tourism
regulatory body;
5. other materials helpful to determine
the nature, cause and extent of loss as requested by
the Company.
C. To recover the medical expenses paid
by the Insured, the Insured should apply for the disability
benefit by completing the Benefit Application Form and
submitting it to the Company with the following proofs
and materials:
1. The Policy;
2. Residence certificate or identity certificate
of the Insured;
3. Treatment record and medical bills
receipts furnished by the hospital at or above the county
level or other hospitals designated or approved by the
Company;
4. Other materials helpful to determine
the nature, cause and extent of loss as requested by
the Company.
D. If the claim is accepted by the Company,
the Company shall, upon receiving the aforesaid claim
form, certificates and evidences, make benefit payment
within 10 days after the amount is agreed upon by the
two parties. For claims not covered by the Policy, a
non-payment notice will be sent to the claimant.
E. If the amount of benefit to be paid
cannot be decided within 60 days after receiving the
aforesaid certificates and materials, the Company will
indemnify the applicant the minimum amount that can
be decided on the basis of the existing materials. The
difference, if any, will be paid when the benefit amount
is finalized.
F. If the Insured, after being declared
dead by the court, returns alive, the benefit recipient
must return the benefit paid by the Company within 30
days after he or she knows of or should reasonably know
of the Insured's return.
G. The Insured's or the Beneficiary's
claim to the policy benefit will expire if it is not
exercised within 2 years from the date he knows of or
should reasonably know of the occurrence of the accident.
Article 11. Policy Termination
Settlement
The Policy cannot be terminated by the
Insured after the Policy goes into effect.
Article
12. Settlement of Disputes
Any disputes arising in the implementation process
of the Policy should first be settled through negotiations.
If no agreement can be reached, it should be resorted
to arbitration according to the arbitration agreement
originally reached. In case of absence of any such valid
agreement, the disputes will be submitted to the People's
Court that has jurisdiction over the policy issuing
place for consideration.
Article 13. Definitions
Acute Diseases: Acute Disease means the
disease diagnosed by the hospital at or above county
level to undertake emergent treatment.
Force Major: Force major means any objective
circumstances that cannot be foreseen, avoided, or conquered.
Accidental Injury: Accidental Injury means
any objective incident that is sudden, violent, external
and unintentional, resulting in serious bodily injury
to the Insured.
Scuba Diving: Scuba Diving means any underwater
swimming in the river, lake, sea, water reservoir and
canal etc. with the help of respiratory instruments.
Rock Climbing: Rock Climbing means climbing
as a sport of a steep cliff, the outside wall of a building,
man-made cliff, ice cliff and iceberg etc..
Martial Art Contest: Martial Art Contest
means any competitive martial arts such as judo, free-hand
boxing, taekwondo, free sparring, and boxing etc. between
two or more people and other competitive sports with
apparatuses.
Exploring Sport: Exploring Sport refers to the involvement
in certain activity such as drifting down a torrential
river, crossing the desert on foot or traveling in a
remote virgin forest, though the person is aware of
the danger of losing his/her life or sustaining bodily
injury under such special natural conditions.
Stunt Performance: Stunt performance means
any such special skills as horsemanship, acrobatic gymnastics
and animal taming.
The Company: The Company refers
to China Life Insurance Company.
China
Life Tourist Accident/Casualty Insurance
Appendix
1:
The Sum Insured Schedule Currency
Unit: 10 thousand RMB
Type of traveling
The sum
Insured |
Traveling in China |
Travel outside China |
Domestic traveling |
One-day traveling |
| Accident insurance |
20 |
18 |
6 |
16 |
| Hospital allowance |
2 |
4 |
15 |
0.6 |
| Funeral insurance |
2 |
2 |
0.5 |
0.2 |
| Total sum insured |
24 |
24 |
8 |
2.4 |
Appendix
1:
Premium Rate Schedule
Type of
traveling |
Traveling
in China |
Traveling outside China
|
Domestic traveling |
One-day traveling |
| Within 20 days (including
20 days) |
More than
20 days |
Within 15 days (including
15 days) |
More than 15 days |
Within 10 days (including
10 days) |
More than 10 days |
| Premium Rate |
0.125° |
(0.125+ 0.0125〜the number of days
exceeding 20 days) ‖ 1,000 |
0.125° |
(0.125+ 0.02〜the number of days exceeding
20 days) ‖ 1,000 |
|
(0.125+ 0.025〜the number of days exceeding
20 days) ‖ 1,000 |
|
If the Insured participates in the special package tour
such as mountaineering, hunting, driftage, skiing, parachute
jump and automobile or motorcycle rally, which is organized
by the tour service and involving higher risk and danger,
the company can collect special risk premium according
to the extent of risk on the basis of premium rate specified
in Appendix 1.
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