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Provision
1 Insurance Term
The insurance term of this contract
is from 7:00 A.M. to 5:00 P.M. 5th Jan,
2008
Provision 2 Eligibility
Athletes
Provision 3 Insurance Liability
During the insurance term of the contract,
the insurance company will undertake the
liabilities as follows:
I.
Accidental Death Benefit:
In case that the insured dies from an
accident within 30 days after the occurrence
of the accident, the insurant will pay
Accidental Death Benefit according to
the benefit amount set in the insurance
policy. The liability for this Insured
is terminated.
II. Dismemberment Benefit:
In case that the insured is injured in
an accident or acute-disease up to any
of the dismemberment level in the Table
of Indemnity within 180 days after the
occurrence of the accident, the insurant
will pay Dismemberment Benefit in accordance
with the benefit percentage in the the
Table of Indemnity. If the medical treatment
will continue after 180 days, the insurant
will pay the Accidental Dismemberment
Benefit on the result of the insured's
physical condition examination on the
180th day.
In case that the Insured is injured up
to over two dismemberment levels in the
Table of Indemnity in one accident or
acute-disease, our Company will pay the
sum of each Accidental Dismemberment Benefit.
But when the different injuries occur
in the same arm or foot, only one Accidental
Dismemberment Benefit will be paid. When
the different injuries, which occur in
the same arm or foot, belong to different
dismemberment grades, the Accidental Dismemberment
Benefit will be paid only for the most
serious grade.
In case that the Insured who was already
disabled in an accident or acute-disease
is injured in another one, and the combined
injuries reach to a more serious dismemberment
grade, he/she can get the Dismemberment
Benefit for the most serious grade. But
the already paid Dismemberment Benefit
should be deducted (If the Insured was
disabled before purchasing the Insurance
or the injuries caused by the accident
is excluded in the Contract, the Dismemberment
Benefit will be regarded as already paid.)
.
The Accidental Death Benefit and Disability
Benefit for each Insured accumulate to
the limit of the Benefit Amount set out
in the Insurance Policy.
III. Medical Treatment Benefit:
In case that the insured suffers from
an accident or acute-disease within the
insurance term and gets medical treatment
within 30 days after the occurrence of
the accident, our company will pay the
Accidental Medical Treatment Benefit to
compensate for the actually and reasonably
paid medical treatment fee over RMB100.
No matter how many accidents the insured
meets with, Our company will pay the Accidental
Medical Treatment Benefit separately according
to the insurance policy. The total sum
of the Accidental Medical Treatment Benefit
accumulates to the limit of the Benefit
Amount set out in the insurance policy.
And at this time, our company's liability
to this insured is terminated.
Our company will not pay for the medical
treatment fee of the insured's injuries
caused by the third party , which should
be born by the third party legally.
If the insured person has other avenues
of compensation, the Company's reasonable
medical expenses only assume the remaining
part of the insurance responsibility.
Accident: is in reference of the event
that is external, sudden and against the
will of the insured and non-disease leading
to injury of the body.
IV. Acute-disease Death Benefit(including
sudden death resulted from disease):
In case that the insured receives aid
for Acute Disease for the first time during
the marathon racing, and dies within 7
days since the occurrence of the disease
(excluding deaths resulted from anamnesis),
our company will pay The Acute-disease
Death Benefit in accordance with the benefit
amount set in the Insurance Policy.
Acute Disease means the disease that the
insured suffered suddenly, for which the
insured doesn't receive treatment and
diagnosis before the contact becomes effective,
and needs treatment in hospital at once.
Provision
4 Exclusion
1. The insurant will not pay any benefit
when the Insured's death or dismemberment
or medical treatment is caused by the following
situations:
i.
The deliberate action by the policyholder
or the beneficiary that leads to the death
or serious injuries of the insured;
ii. The insured deliberately resists arrest,
commits a crime, suicide or self-inflicted
injuries;
iii. The insured fights, is indulgent
of alcohol, takes, sucks or injects drugs;
iv. The insured drives after drinking,
without driving license or valid motorized
vehicles driving license;
v. Parturition or abortion;
vi. The insured takes, applies or injects
medicine against the doctor's instruction;
vii. The insured suffering from AIDS or
being infected by aids virus (HIV positive);
viii. Active involvement in war, military
action, riot or rebellion;
ix. Nuclear explosion, radiation or pollution;
x. The accidents caused by the participants
who insist on attending the marathon games
against the field doctor's recommendation;
xi. Any accidents caused by taking the
medicine forbidden by The XiaMen Marathon
Organizing Commmittee;
xii. Any medical treatment fee and medicine
which should be born by the Insured himself
/ herself stipulated by the Public Medical
Treatment Management Department of XiaMen
;
xiii. The insured participates contest
by passing himself/herself off as others;
xiv. The excluded responsibilities by
"Ping'an Short-term Comprehensive
Accidental Injury Insurance clause "
is still applicable.
2.
The insurant will not pay any benefits if
the insured's acute- disease death is caused
by the following situations:
i.
The accidents caused by the participants
who insist on attending the marathon games
against the field doctor's recommendation;
ii. Hereditary diseases, mental disorder,
schizophrenia, cancer and illness known
or should be known by the insured before
the contract becoming effective;
iii. Disease treated (in hospital or emergency
ward) before the insured participate the
marathon racing;
iv. Accidental injury;
v. The insured participates contest by
passing himself/herself off as others;
vi. The excluded responsibilities by "Ping'an
Short-term Comprehensive Accidental Injury
Insurance clause" or "Ping'an
Traveling &Accidental Injury Insurance
Clause" is still applicable.
Provision
5 Benefit Amount
The insurance coverage of this contract
includes RMB 300000 for accidental death
(RMB 50000 for the underage), RMB 300000
for accidental disablement (RMB 50000 for
the underage), RMB 20000 for accidental
medical treatment and RMB 200000 for acute-disease
death.
The Accidental Death Benefit and Accidental
Disability Benefit for each insured accumulate
to the limit of the benefit amount set (RMB
200000 for the adult , RMB 50000 for the
underage) in the insurance policy.
Definition: The "underages"
means the insureds who under 16years old
when the insurance contract comes into effect.
Provision 6 Premium
Totally paid by The XiaMen Marathon Organizing
Commmittee;
Provision
7 Designation of Beneficiary
The beneficiary of "accidental death
benefit" is the legal inheritor of
the insured.
The beneficiary of "accidental disablement
benefit" &"accidental medical
treatment benefit" is the insured own
self.
The beneficiary of "acute-disease death
benefit" is the legal inheritor of
the insured, and the insurance company will
not accept the designation and alteration
of the beneficiary.
Provision
8 Claim Application
1. Application for Accidental Death Benefit
I.
The household registry certificate or
ID card of the Beneficiary;
II. The Death Testimonial of the insured
issued by the medical establishment accepted
by the Public Security Department or our
company;
III. If the insured is declared to be
dead, the Beneficiary should provide the
Death Declaration Document issued by the
People's Court;
IV. Cancellation certificate of the household
registration of the Insured;
V. Certificate provided by relevant departments
(such as the Public Security Department,
120 spot first aid of the medical establishment);
VI. Any other document the beneficiary
can provide to prove the nature or the
cause of the insurance event.
2.
Application for Accidental Dismemberment
Benefit
I.
The household registry certificate or
ID card of the Beneficiary;
II. The disability level testimonial of
the insured issued by the medical establishment
accepted by our company;
III. Certificate provided by relevant
departments (such as the Public Security
Department, 120 spot first aid of the
medical establishment);
IV. Any other document the beneficiary
can provide to prove the nature or the
cause of the insurance event.
3.
Application for accidental medical treatment
benefit
I.
The household registry certificate or
ID card of the Beneficiary;
II. Certificate provided by relevant departments
(such as the Public Security Department,
120 spot first aid of the medical establishment);
III. The medical treatment fee receipt
of the insured issued by the medical establishment
accepted by our company;
IV. Any other document the beneficiary
can provide to prove the nature or the
cause of the insurance event.
4.
Application for Acute-disease Death Benefit
I.
The household registry certificate or
ID card of the Beneficiary;
II. The Death Testimonial of the insured
issued by the medical establishment accepted
by the Public Security Department;
III. If the insured is declared to be
dead, the Beneficiary should provide the
Death Declaration Document issued by the
People's Court;
IV. Cancellation certificate of the household
registration of the Insured;
V. Certificate provided by relevant departments
(such as the Public Security Department,
120 spot first aid of the medical establishment);
VI. Any other document the beneficiary
can provide to prove the nature or the
cause of the insurance event.
The
Beneficiary can directly contacts the insurance
company to deal with the claims.
Contact
number
Emergent report tel: 13860437176, Mr li.
Emergent contactor:0592-8531870 13906020870
,Mrs.fang
Insurance Company: Xiamen division, Ping
An property & casualty Insurance Company
of China, LTD
Address: 11th Floor,The Bank Center, No.
189, Xiahe Road, Xiamen City
Note: This English instruction is intended
as a general summary of information only
.Please refer to the Chinese clauses for
exact terms an
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