5. 71 Insurable Interest Health Risk Financial Justification Residential Risk Lifestyle Capability to pay future premiums 5.1 Insurable Interest 5.1.3 5.1.1 Personal Insurance 5.1.2 MortgageLoan Protection Insurance Plan Collateral Assignment May 22-2006
72 Collateral Assignment Collateral Assignment Collateral Assignment Collateral Assignment ( 5.1.3 Business Insurance Partnership Protection Insurance F02 Buy & Sell Agreement Keyperson Protection Insurance F02 ( ( 7 ( May 22-2006
5.2 Medical Underwriting 73 5.2.1 5.2.1.1 5.2.1.3 APS 5.2.1.2 X 5.2.1.3 5.2.2 Blood Test - Liver Function Test AFP Blood Test - Fasting Blood Sugar Hba1c MED MU Blood Test - T3 T4 MED May 22-2006
74 May 22-2006
5.2.2 75 5.2.2.1 Ordinary Non-Medical Limits Table : 0 35 ( * US$1 375,000 US$375,001 1,000,000 US$1,000,001 1,500,000 US$1,500,001 1,750,000 US$1,750,001 2,000,000 Over US$2,000,000 MEDBPS MEDBPFECGMU SPMEDBPFECGMU SPMEDBPFExECGCXRMU SPMEDBPFExECGCXRMUAPS : 36 40 ( * US$1 325,000 US$325,001 375,000 US$375,001 1,000,000 US$1,000,001 1,500,000 US$1,500,001 1,750,000 Over US$1,750,000 MED MEDBPS MEDBPFECGMU SPMEDBPFECGMUAPS SPMEDBPFExECGCXRMUAPS : 41 45 ( * US$1 200,000 US$200,001 375,000 US$375,001 750,000 US$750,001 1,000,000 US$1,000,001 1,500,000 Over US$1,500,000 MED MEDBPS MEDBPSECGMU SPMEDBPFECGMU SPMEDBPFExECGCXRMUAPS : 46 50 ( * US$1 150,000 US$150,001 375,000 US$375,001 500,000 US$500,001 750,000 US$750,001 1,000,000 Over US$1,000,000 MED MEDBPS MEDBPSECGMU MEDBPFECGMU SPMEDBPFExECGCXRMUAPS May 22-2006
75a : 51 55 ( * US$1 50,000 US$50,001 350,000 MED US$350,001 500,000 US$500,001 750,000 Over US$750,000 MEDBPFECGMU SPMEDBPFECGMU SPMEDBPFExECGCXRMUAPS : 56-60 ( * US$1 350,000 US$350,001 500,000 MED MEDBPFECGMU US$500,001 750,000 Over US$750,000 SPMEDBPFECGMU SPMEDBPFExECGCXRMUAPS : 61-65 ( * US$1 350,000 US$350,001 500,000 MED MEDBPFECGMU US$500,001 750,000 Over US$750,000 SPMEDBPFECGMU SPMEDBPFExECGCXRMUAPS : 66 ( * US$1 350,000 US$350,001 500,000 Over US$500,000 MED MEDBPFECGMU SPMEDBPFExECGCXRMUAPS * " E " May 22-2006
5.2.2.1A Preferred Non-Medical Limits Table 75b : 0 35 ( * US$1 425,000 US$425,001 1,000,000 US$1,000,001 2,000,000 US$2,000,001 2,500,000 Over US$2,500,000 MEDBPS MEDBPFECGMU SPMEDBPFExECGCXRMU SPMEDBPFExECGCXRMUAPS : 36 40 ( * US$1 375,000 US$375,001 425,000 US$425,001 1,000,000 US$1,000,001 2,000,000 US$2,000,001 2,500,000 Over US$2,500,000 MED MEDBPS MEDBPFECGMU SPMEDBPFExECGCXRMU SPMEDBPFExECGCXRMUAPS : 41 45 ( * US$1 250,000 US$250,001 425,000 US$425,001 1,000,000 MED MEDBPS US$1,000,001 2,000,000 Over US$2,000,000 SPMEDBPFECGMU SPMEDBPFExECGCXRMUAPS : 46 50 ( * US$1 150,000 US$150,001 425,000 US$425,001 500,000 US$500,001 750,000 US$750,001 1,00,000 Over US$1,000,000 MED MEDBPS MEDBPSECGMU MEDBPFECGMU SPMEDBPFExECGCXRMUAPS May 22-2006
: 51 55 ( 75c * US$1 75,000 US$75,001 375,000 US$375,001 500,000 US$500,001 750,000 Over US$750,000 MED MEDBPSECGMU SPMEDBPFECGMU SPMEDBPFExECGCXRMUAPS : 56 60 ( * US$1 25,000 US$25,001 375,000 US$375,001 500,000 US$500,001 750,000 Over US$750,000 MED MEDBPSECGMU SPMEDBPFECGMU SPMEDBPFExECGCXRMUAPS : 61 65 ( * US$1 25,000 US$25,001 375,000 US$375,001 500,000 US$500,001 750,000 Over US$750,000 MED MEDBPSECGMU SPMEDBPFECGMU SPMEDBPFExECGCXRMUAPS : >=66 ( * US$1 375,000 US$375,001 500,000 Over US$500,000 MED MEDBPFECGMU SPMEDBPFExECGCXRMUAPS * " E " MED SPMED BPS BPF ECG ExECG MU CXR APS "S" ( 10 "F" ( 10 ( X May 22-2006
75d Non-Medical Limits Table A. HK$MOP ( US$1 HK$8MOP8 B. Back-Dated Policy Date ( 2.3.1.3.7 C. D. Respected Choice US$ 30,000 30 % 60 % 100% E. 24 ( a. ( 45 US$ 750,000 ( 45-60 US$ 500,000 b. ( c. ( d. e. 36 1 36 US$ 250,000 US$ 250,000 US$ 250,000 25 38 +US$ 250,000 US$ 500,000 US$ 250,000 49 40 +US$ 250,000 US$ 750,000 US$ 250,000 73 42 +US$ 250,000 US$1,000,000 US$1,000,000 MED, BPS, MU, ECG May 22-2006
36 76 1 36 US$ 400,000 US$ 400,000 US$ 400,000 MED, BPS 10 36 US$ 200,000 US$ 200,000 25 38 +US$ 250,000 US$ 450,000 US$ 250,000 35 40 +US$ 250,000 US$ 700,000 US$ 500,000 MED, BPS 73 42 +US$ 250,000 US$ 950,000 US$ 950,000 MED, BPS, MU, ECG 36 1 36 US$ 400,000 US$ 400,000 US$ 400,000 MED, BPS 10 36 US$ 200,000 US$ 200,000 25 38 +US$ 250,000 US$ 450,000 US$ 250,000 35 38 US$ 200,000 US$ 250,000 40 39 +US$ 250,000 US$ 500,000 US$ 500,000 MED, BPS 73 42 +US$ 250,000 US$ 750,000 US$ 250,000 MED 40 ( 1 39 US$ 400,000 N / A 40 N / A US$ 150,000 US$ 550,000 MED, BPS 43 ( 7 36 US$ 400,000 N / A 43 N / A US$ 125,000 US$ 125,000 (First In First Out F. G. H. I. HIV a. ( b. May 22-2006
5.2.2.1.1 WP PB WP PB Planned Annual Premium WP PB 77 WP PB * HK$0 120,000 18 50 50 HK$120,001 280,000 HK$280,001 * WP PB ( WPPB Planned Annual Premium WP PB 24 WP PB ( WP PB a. WP PB 45 WP PB HK$600,000 46 60 WP PB HK$400,000 60 WP PB HK$120,000 b. WP PB ( c. WP PB d. WP PB 24 5.2.2.1.2 Critical Illness 61 * 60 61 US$0 100,000 MED US$100,001 350,000 MEDBPS US$350,001 * CICIDCI Extra MEDBPF MUExECG May 22-2006
77 / 1 5.2.2.1.3 Disability Income Benefit 1850 * HK$1 HK$25,000 HK$25,001 HK$50,000 HK$50,001 HK$75,000 HK$75,001 MEDBPFMU MEDBPF MUECG MEDBPFMU ExECGCXRAPS * Disability Income Benefit ** $1 ( = $8 ( 5.2.2.2 Q09 LFT AFP G LFTAFP Q09 May 22-2006
5.2.2.3 78 ( 7 7 35 1. MED APS 1. MED APS 2. 2. 3. 3. 4. 4. 35 1. MED APS 2. 3. 2 4. MED = APS = 5.2.2.4 OK 18-40 41 US$125,000 US$125,001US$300,000 LFT LFT GGT US$300,001 LFT GGT LFT GGT LFT GGT = May 22-2006
79 5.2.2.5 10 May 22-2006
5.2.2.6 80 ( ( 15 G03 5.2.1.2 G APS M02 C13 C14 May 22-2006
May 22-2006 81 5.2.2.7 0.3 % 5.2.3 5.2.3.1 M03 UM H M03 14 (
82 ( 1. 2. 3. 4. Microurinalysis 1. 2. 3. 4. Electrocardiogram 1. 2. 3. 4. May 22-2006
Treadmill Protocol Test 83 1. 2. 3. X- X- Chest X-Ray 1. 2. 3. 4. 5. LFT Liver Function Test AFP Alphafetoprotein HbsAg Hepatitis B Surface Antigen GGT Gamma-Glutamyl Transferase ( CR Creatinine HIV-Antibody Human Immuno-Deficiency Virus CHOL Cholesterol ( HDL CHOL High Density Cholesterol TG Triglyceride ( FBS Fasting Blood Sugar ( May 22-2006
84 GTT Glucose Tolerence Test CBC Complete Blood Count ( Urate UrateUric Acid May 22-2006
5.2.3.2 Mobile Medical Exam Service 85 a. (1 18-35 < US$500,000 36-45 < US$250,000 46-50 < US$150,000 51 (2 (3 (4 AFYP US$1,500 ( (1 (3 AFYP US$1,500 ( b. - MED - Blood Tests - MU - ECG c. Target Premium US$1,500 d. MediCorp 2385 3988 ( Mon - Fri : 10:00-13:00 & 15:30-18:00 Fax: 2385 1104 ( Saturday : 10:00-13:00 MediFast 2780 1322 ( Mon - Fri : 9:00-13:00 & 14:00-18:00 Fax: 2780 3002 ( Saturday : 10:00-13:00 PremierCare 2834 1696 ( Mon - Fri : 9:00-13:00 & 14:00-18:00 Fax: 3017 7970 ( Saturday : 10:00-13:00 M05 e. HK$150 HK$480 May 22-2006
f. 86 g. ( X 5.2.4 5.2.4.1 5.2.2.1 4.6 4.8 5.2.4.2 5.2.4.2. Payment Slip ( 4.6 4.8 May 22-2006
5.3 Financial Underwriting Guidelines 87 5.3.1 Insurable Interest ( 5.3.1.1 Earning Power 5.3.1.2 Asset Prevailing Market Value 5.3.1.1 Earning Power (a (b (a 1a. 1b. 1c. ( 1d. 1e. 1f. ( (b 2a. ( 12 2b. 2c. 2d. 2e. 2f. May 22-2006
88 2g. 5.3.1.2 Asset Prevailing Market Value F02 ( F01 F02 US$ 500,001750,000 750,0011,000,000 1,000,001 500,001750,000 750,0011,000,000 1,000,001 F01 F01 F02 F01 F02 [ 5.3.1.1 (a (b ] [ 5.3.1.2 ] F01 F01 F02 F01 F02 3 [ 5.3.1.1 (a (b ] [ 5.3.1.2 ] 500,001750,000 750,0011,000,000 F01 F01 F02 May 22-2006
89 US$1,000,001 F02 F01 US$750,001 16-35 20 36-40 16 41-45 12 46-55 9 56 4 5.2.2.1 12 5.3.1.3 Target Premium Planned Premium Target Premium Planned Premium Target Premium 1. Target Premium 50% ( Target Premium 50% 2. Target Premium 5% Planned Premium Planned Premium May 22-2006
891 A May 22-2006
5.3.2 CAB 90 CAB CAB 24( 75% CAB US$100,000 CAB AD&D ADB US$1,000,000 CAB 5.3.3 HK$ 56,000 46,000 55,999 36,000 45,999 HK$ * $1,800 $1,500 24,000 35,999 $1,200 18,000 23,999 $900 18,000 $600 $600 ( > HK$1,200 May 22-2006
91 HS 5.3.3A 1000 ( =HK$1,0001,000 x 1,000 = HK$1,000,000 ( =HK$500: 500 x 1,000 = HK$500,000 HK$2,000,000 HK$3,500,000 ( 5.2.2 May 22-2006
5.3.4 Disability Income Benefit 91 / 1 HK$30,000 40 65 HK$9,000,000 75% 5.3.4.1 * 40 * ( * May 22-2006
5.3.4.2 91 / 2 : (1 (2 1 ( ( HK$500,000 2 3 4 5.3.4.3 ( > HK30,000 12 91 / 3 May 22-2006
HK$50,000 5.3.4.2 5.3.4.4 A. 1 HK$125,000 MOP125,000 US$15,625 2 HK$75,000 MOP75,000 US$9,375 3 HK$50,000 MOP50,000 US$6,250 4 HK$50,000 MOP50,000 US$6,250 5.3.4.4A May 22-2006
91 / 4 B. ( * HK$1 - HK$40,000 75% HK$40,001 50% 5.3.4.4B ( + ( 5.3.4.4A * HK$300,000 ( HK300,000 6 = HK$50,000 5.3.4.5 (1 Total Disability (2 Residual Disability 5.3.4.5.1 Total Disability Benefit (a (b (a (b *75% Residual Disability Benefit X * * Residual Disability Benefit May 22-2006
91 / 5 HK$40,000 HK$60,000 5.3.4.5.1 (a (b HK$40,000 75% HK$45,000 (a (b Total Disability Benefit HK$40,000 HK$30,000 Residual Disability Benefit X HK$40,000 X HK$30,000 HK$60,000 Residual Disability Benefit HK$20,000 HK10,000 Total Disability Benefit Benefit Co-ordination (a (b HK$40,000 75% HK$45,000 HK$10,000 HK$35,000 (a (b Total Disability Benefit HK$35,000 May 22-2006
91 / 6 HK$30,000 HK$60,000 HK$10,000 (a HK$30,000 x 50% 50% = HK$15,000 (b HK$60,000 x 75% 75%= HK$45,000 HK$10,000 = HK$35,000 (a (b Total Disability Benefit HK$15,000 Residual Disability Benefit 5.3.4.5 (G19 18 50 (G19 Back-Dated Policy Disability Income Benefit $25,000( $3,100( 5.2.2.1.3 Date Forward Date Back (G19 Payment Slip (G04 Policy Replacement Note Customer Protection Declaration Form Agent s Report DDA 5.3.4.1 Dump-In Premium May 22-2006
91 / 7 5.3.5 Money-Back Hospital Income Protector 30 60 (G22 Back-Dated Policy Hospital Income Benefit $1,200( $150( 5.3.3 Hospital Income Benefit Date Forward Date Back (G22 Payment Slip (G04 Policy Replacement Note Customer Protection Declaration Form Agent s Report DDA Dump-In Premium 5.3.6 Money-Back Accident Benefit 18 50 (G23 Back-Dated Policy 3 Accident Benefit $1,000,000( $8,000,000( Date Forward Date Back 30 (G23 Payment Slip (G04 Policy Replacement Note Customer Protection Declaration Form DDA Dump-In Premium May 22-2006
5.3.7 Lifetime Health Protector 91 / 8 30 55 Back-Dated Policy +$2M $200( $25( Hospital Income Benefit ( + + $2,000( $250( 5.3.3 Date Forward Date Back 180 (G08 (G09 Payment Slip (G04 Policy Replacement Note Customer Protection Declaration Form Agent s Report DDA Dump-In Premium 5.3.8 30 50 +$2 Table D $200 $25 $2,000 $250 ( + + + 5.3.3 180 May 22-2006
91 / 9 G08 G09 G04 G01 5.4 Residential Risk 3.4 May 22-2006