卓越环球医疗保险投保单（团体）.PDFVIP

卓越环球医疗保险投保单（团体） G r o u p h e a l t h i n s u r a n c e A p p l i c a t i o n F o r m 重要注释Important Notes: 1.在填写本投保申请前，您可以要求业务人员向您提供保险条款。请仔细阅读条款，尤其是除外责任、赔偿限额、免赔额、保险责任取消/终止等 黑体字标注的条款内容，并听取业务人员的说明，如对业务人员的说明有不明白或有异议的，请在填写本投保单之前向业务人员进行询问，如未询 问，视同已经对条款内容完全理解并无异议。 Please ask your consultant for the insurance clauses before filling out this Application Form. Please carefully read the clauses, especially for policy exclusions, annual limit, deductible, cancellation/termination of cover, and the others which are all highlighted in bold. You can enquire your consultant if need any clarification before filing out this Application Form, otherwise you are deemed to fully understand the clauses and have no objection. 2.请如实填写本表内容并确定所填写的内容全部正确无误，根据保险法和相关规定，如您未履行如实告知义务，则可能会导致保险合同被解除或者 保险公司不承担相关保险责任。 Under Insurance Law or any subsequent amendment, you are to disclose in the Application Form, fully and faithfully, all the facts which you know or ought to know, otherwise the policy issued may be void, and the insurance company is not liable to any insurance responsibility. 3.投保人对被保险人应当具有保险利益，否则依据保险法合同无效。 The policyholder shall have the insurable interest to the insured members, otherwise the insurance contract shall be invalid. 4.本投保单为保险合同的重要组成部分。请用蓝色或黑色墨水笔以中文正楷填写完整，不得涂改。 This Application Form is an important part of the insurance contract. Please complete it in Chinese or English block letters with blue or black ink, and shall not alter. 5.请提供投保单位的营业执照复印件，以及所有被保险人的护照或身份证复印件。 Please provide the copy of the company ’s valid business licence, and all the insured members ’passports / ID copies. 6.对于直接付费服务，如有任何计算错误或不属保障范围的项目，您有义务接受理赔款的最终调整。 For direct billing service, you are obliged to accept the final adjustment in charges and actions if there is any miscalculation or uncovered expense items according to the terms and conditions of the policy. 7.若英文译本