Remarks:
- In respect of any application for exercising the Currency Switch Option, the Company shall have the absolute right and discretion to: (i) determine whether to accept any application for exercising the Currency Switch Option; and (ii) impose any requirements and conditions for any such acceptance; and subject to applicable laws and regulations, the currency will not be available for selection if it is demonetized by the issuance country or region at the time of the Currency Switch Option is applied. A written notice with the revised Policy Schedule and illustration showing the Converted Currency as the Policy Currency10 will be issued to the Policyholder upon the Company’s determination that any Currency Switch Option has taken effect.
- In respect of any application for exercising the Policy Split Option, the Company shall have the absolute right and discretion to: (i) determine whether to accept any application for exercising the Policy Split Option; and (ii) impose any requirements and conditions for any such acceptance. You may apply for change of ownership, Currency Switch Option1 or Change of Life Insured7 of Split Policies when applying for Policy Split Option, subject to the terms in policy provisions. All Supplementary Benefit(s) attached to the Basic Plan, if still in-force, will be transferred to the Split Policies. Exercising the Policy Split Option may affect the coverage under the Supplementary Benefit(s) and please refer to the provisions of the Supplementary Benefit(s). A written notice will be issued to the existing Policyholder and the Policyholders of the Split Policies, revised Policy Schedules, policy provision, the Supplementary Benefit provisions (if any), any Policy Endorsements and illustration of Split Policies will also be issued to the Policyholders of the Split Policies. Any existing selected Death Benefit Settlement Option, any existing designation of Beneficiary(ies), Contingent Owner4, Interim Policyholder4, Contingent Insured6, Regular Withdrawal Recipient and Family Mental Care Benefit8 Recipient, and Designated Percentage of Family Mental Care Benefit8 of the Policy will not be carried over to the Split Policies automatically.
- Any Regular Withdrawal Option request is subject to the following two requirements: (i) a minimum amount of reduction of Policy Amount15 per transaction; and (ii) a minimum amount of the Policy Amount15 after such transaction, both the minimum amount requirements are determined by the Company from time to time at our absolute discretion. You may designate or change the Regular Withdrawal Recipient by giving us a written request in our specified form prescribed by us. The exercise of the Regular Withdrawal Option and the designation or change of the Regular Withdrawal Recipient can only be made while the Policyholder, Regular Withdrawal Recipient and the Life Insured are alive. A written notice with the revised Policy Schedule will be issued to the Policyholder upon the Regular Withdrawal Option has taken effect. Upon receiving the request to exercise the Currency Switch Option1, Policy Split Option2, Policy Value Management Option, or partial surrender16, or upon the change of ownership of the Policy, exercise of the Regular Withdrawal Option instruction of the Policy will be suspended and the existing designation of Regular Withdrawal Recipient on our record will be automatically revoked. You have to submit to us a new written request for exercising the Regular Withdrawal Option after transfer of ownership, Currency Switch Option1, Policy Split Option2, Policy Value Management Option or partial surrender16 has taken effect.
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Our acceptance of any designation of Contingent Owner and
Interim Policyholder (if applicable) will be at our absolute
discretion and shall be subject to any prevailing rules and
terms and conditions as we shall determine from time to time.
Once accepted and recorded, the designation of Contingent Owner
and Interim Policyholder (if appliable) will take effect as of
the date you sign the request, subject to any payment we have
made or action we have taken before recording the designation. A
written notice will be issued to the Policyholder upon
designation of Contingent Owner and Interim Policyholder (if
applicable) of the Policy has taken effect.
Where the Policyholder dies while the Policy is in force and the Life Insured is still alive or there is a designated Contingent Insured6 on our record, and if there is also a designated Contingent Owner and a designated Interim Policyholder (if applicable) on our record, we shall determine the new Policyholder according to the following:- If the Contingent Owner is at the Insurance Age5 of 18 or above as at the date of death of the Policyholder, the Contingent Owner shall become the new Policyholder.
- If the Contingent Owner is under the Insurance Age5 of 18 as at the date of death of the Policyholder and after the Payment Cessation Date or the 1st Policy Anniversary (whichever is later), the Interim Policyholder will become the new Policyholder but shall only have the administrative right to update personal information of Interim Policyholder and Contingent Owner. The Interim Policyholder is not entitled to exercise any options or rights under the Policy. The Interim Policyholder will cease to be the Policyholder when the Contingent Owner reaches the Insurance Age5 of 18 and becomes the new Policyholder.
- After the Interim Policyholder becomes the new Policyholder and before the Contingent Owner becomes the new Policyholder, in the event that (1) the Interim Policyholder dies; or (2) the Interim Policyholder goes bankrupt; or (3) we determine the Interim Policyholder is otherwise no longer able to take the policy ownership at our sole discretion, the Contingent Owner shall become the new Policyholder.
- If the Contingent Owner is under the Insurance Age5 of 18 as at the date of death of the Policyholder and the Policy is not fully paid, the ownership of the Policy shall vest in the Policyholder’s estate.
- Insurance Age means, at any date, the age of the Life Insured or the Policyholder (where applicable) on the last birthday prior to (or on the birthday the same day as) the Policy Date or the relevant Policy Anniversary.
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Our acceptance of any designation of Contingent Insured will be
entirely at our absolute discretion and shall be subject to (i)
satisfactory proof of the insurability of the Contingent
Insured; (ii) the Contingent Insured meeting the prevailing age
requirement; (iii) the Policyholder and Contingent Owner4
(if any) having adequate insurable interest* in the Contingent
Insured; (iv) a Contingent Insured below the Insurance Age5
of 18 can only be designated if you designate a Contingent
Owner4 at the same time or there is an existing
Contingent Owner4 on our record; and (v) any other
requirements as determined by us from time to time. Once
accepted and recorded, the Company will issue a written notice
to record the designation of Contingent Insured. The designation
of Contingent Insured will take effect as of the date stated in
the written notice.
While the Policy is in force, if the Life Insured dies after the 1st Policy Anniversary and there is a designated Contingent Insured on our record, you may exercise the Contingent Insured Option by submitting to us a written request in a form as prescribed by us within 180 Days from the date of death of the Life Insured. The Contingent Insured shall become the new Life Insured subject to (i) proof of death of the latest Life Insured as in the Company’s record; (ii) satisfactory proof of the insurability of the Contingent Insured; (iii) the Policyholder having adequate insurable interest* in the Contingent Insured; (iv) payment of all overdue premiums with interest (if any) since the due date of the first unpaid premium; and (v) any other requirements as determined by us from time to time. We reserve the right not to effect the Change of Life Insured7 at our absolute discretion. The Company will issue a Policy Endorsement and a revised Policy Schedule to effect the Change of Life Insured7. If there is a Contingent Insured on our record, premium is payable after the Life Insured dies.
* General acceptance relationships with adequate insurable interest include spouse, children with Insurance Age5 below 18 and their parents / legal guardian, grandchildren with Insurance Age5 below 18 and their grandparents (subject to relevant documents and proof to establish the insurable interest). -
Our acceptance of any Change of Life Insured request will be
entirely at our absolute discretion and shall be subject to (i)
satisfactory proof at the insurability of the new Life Insured;
(ii) the new Life Insured meeting the prevailing age
requirement; (iii) the Policyholder having adequate insurable
interest* in the new Life Insured; and (iv) any other
requirements as determined by us from time to time. The Company
will issue a Policy Endorsement and a revised Policy Schedule to
effect the Change of Life Insured. Upon Change of Life Insured,
Total Premiums Paid13, Policy Date, Payment Cessation
Date, Policy Currency10, Policy Amount15,
Guaranteed Cash Value, Special Dividend (if any), Death Benefit,
Policy Value Management Balance (if any) and Indebtedness (if
any) remain the same. Change of Life Insured may affect the
coverage under the Supplementary Benefit(s) and please refer to
the provisions of the Supplementary Benefit(s). Any Contingent
Insured6, Family Mental Care Benefit8
Recipient and Designated Percentage of Family Mental Care
Benefit8 on our record will be automatically revoked
upon Change of Life Insured.
* General acceptance relationships with adequate insurable interest include spouse, children with Insurance Age5 below 18 and their parents / legal guardian, grandchildren with Insurance Age5 below 18 and their grandparents (subject to relevant documents and proof to establish the insurable interest). -
If the Life Insured is diagnosed as a Mentally Incapacitated
Person or diagnosed of Severe Dementia while the Policy is in
force, we will pay the Family Mental Care Benefit which equals
to Designated Percentage of Family Mental Care Benefit
multiplies by (a) Guaranteed Cash Value, plus (b) Special
Dividend (if any), plus (c) Policy Value Management Balance (if
any) as at the date of claim approval of this Supplementary
Benefit. Any Indebtedness shall be deducted from the Family
Mental Care Benefit at the time of payment. The Family Mental
Care Benefit is only payable once while the Policy is in force.
Only when a Family Mental Care Benefit Recipient is designated
in the Policy by the Policyholder, such Family Mental Care
Benefit Recipient will be entitled to this Supplementary
Benefit. Family Mental Care Benefit Recipient must be aged 18 or
above at the time of designation. While the Policy is in force,
the Policyholder may designate or change the Designated
Percentage of Family Mental Care Benefit and/or Family Mental
Care Benefit Recipient by giving a written request in a form
specified by the Company. The Designated Percentage of Family
Mental Care Benefit shall be a whole number percentage between
10% to 100%, subject to our requirements as determined by us
from time to time.
A change of Designated Percentage of Family Mental Care Benefit and/or Family Mental Care Benefit Recipient shall be effective only if accepted and recorded by the Company. The Family Mental Care Benefit is paid only if the Family Mental Care Benefit Recipient has been designated. In case (i) there is a guardian or committee appointed under the Mental Health Ordinance (Cap.136 Laws of Hong Kong SAR) (or if there is a guardian or committee appointed under similar laws in another jurisdiction) or an enduring power of attorney registered under the Enduring Powers of Attorney Ordinance (Cap. 501 Laws of Hong Kong SAR) covering the Policy; and/or (ii) the Policyholder is not the Life Insured; and/or (iii) the Policy has been assigned, this Supplementary Benefit will only be paid to the designated Family Mental Care Benefit Recipient with the consent of the guardian or committee or attorney (as applicable in (i)); and/or the Policyholder (as applicable in (ii)); and/or the assignee (as applicable in (iii)), as the case may be. In case there is a dispute or in the Company’s reasonable belief, there is a dispute between the Family Mental Care Benefit Recipient and any other person, including but not limited to the Policyholder, Life Insured’s guardian or committee, attorney, Beneficiary(ies) or assignee, the Company reserves the right to withhold payment until such dispute is resolved. If the Designated Percentage of Family Mental Care Benefit is 100%, upon payment of the Family Mental Care Benefit, the Policy which includes the Basic Plan and all Supplementary Benefits (if any) will be terminated and the Company will be fully discharged from all further liability. If the Designated Percentage of Family Mental Care Benefit is less than 100%, upon payment of the Family Mental Care Benefit, Total Premiums Paid13, Policy Amount15, Guaranteed Cash Value, Special Dividend (if any), Policy Value Management Balance (if any) and subsequent premium (if any) under the Policy will be adjusted and reduced proportionally and the Death Benefit will be adjusted accordingly. A revised Policy Schedule will be issued to the Policyholder. -
While the Policy is in force and before the 5th Policy
Anniversary, Family Accident Benefit equals to the applicable
percentage of Total Premiums Paid13 of the Basic Plan
up to the Date of Designated Event Due to Accident14
(less any Indebtedness) will be paid as a result of the Covered
Person12 suffering from the following designated
event due to Accident:
- Accidental Death;
- Total Permanent Disablement; or
- Continuous Hospitalization for 25 Days or above.
Family Accident Benefit will be automatically terminated (i) when this Supplementary Benefit is paid out, (ii) on the date the Policy of Basic Plan lapses, terminates, expires, becomes void, is surrendered16 or cancelled, or (iii) on the Benefit Cessation Date of this Supplementary Benefit (whichever is the earliest). Family Accident Benefit is only payable once even the Covered Person12 suffers from more than one designated event due to Accident listed in the table above, or more than one Covered Person12 suffer from the designated event due to Accident listed in the table above. For the avoidance of doubt, the benefit under Accidental Death, Total Permanent Disablement and Continuous Hospitalization for 25 Days or above per Covered Person12 across all policies of the designated products issued by the Company is subject to the maximum amount set out in table above respectively.Designated event due to Accident Applicable percentage of Total Premiums Paid13 Maximum amount of benefit per Covered Person12 Accidental Death 10% USD 2,000,000 / RMB 12,800,000 / HKD 16,000,000 / GBP 1,500,000 / CAD 2,500,000 / AUD 2,666,667 / EUR 1,600,000 / NZD 3,000,000 Total Permanent Disablement 10% Continuous Hospitalization for 25 Days or above 5% USD 50,000 / RMB 320,000 / HKD 400,000 / GBP 37,500 / CAD 62,500 / AUD 66,667 / EUR 40,000 / NZD 75,000
In the event of Accidental Death of the Life Insured, this Supplementary Benefit will be payable to the surviving Beneficiary(ies) only if Death Benefit is payable in accordance with the provision and it is payable in lump sum in addition to any Death Benefit due under the Policy. In the event of designated events due to Accident of Covered Person12 (other than Accidental Death of the Life Insured), we will pay this Supplementary Benefit in lump sum to the Policyholder or the Policyholder’s estate. For the avoidance of doubt, we will not pay this Supplementary Benefit in the event of Accidental Death of the Life Insured while there is a Contingent Insured6 on our record who becomes the new Life Insured. And we will not pay this Supplementary Benefit in the event of Accidental Death of the Policyholder while there is a Contingent Owner4 or Interim Policyholder4 on our record who becomes the new Policyholder. - If you enroll the Plan in foreign currency, all premium payable and policy benefits of the Plan will be recorded in the corresponding foreign currency. Since the two-way exchange of foreign currency and Hong Kong dollar bears the risk of exchange rate fluctuation, you should consider exchange rate risk before making the decision to enroll in the Plan. If you pay the premium or receive policy benefits in Hong Kong dollars, Hang Seng Insurance will convert the relevant amount from Hong Kong dollars to the corresponding foreign currency or from the corresponding foreign currency to Hong Kong dollars at the market-based prevailing exchange rate on the date your premium is processed or your policy benefits are settled. The exchange rate applicable at the relevant time is determined by the Company and would be varied from time to time. The foreign currency exchange rate can go up or down. If you pay the premium in Hong Kong dollars, when the corresponding foreign currency appreciates against the Hong Kong dollars, the annual premium payable in Hong Kong dollars at the subsequent Policy Years would be higher than initial annual premium. If you settle the policy benefits in Hong Kong dollars and the corresponding foreign currency depreciates against the Hong Kong dollars when your policy benefits are settled in Hong Kong dollars, you could lose a substantial portion of your policy benefit value in Hong Kong dollars.
- If there is remaining balance of Death Benefit after the Lump Sum Payment for Defined Life Event of the Beneficiary, we will continue to pay the Death Benefit by monthly instalments over selected payout period, until all amounts of the Death Benefit have been paid out. We will not pay the Lump Sum Payment for Defined Life Event in the case where the age of Beneficiary is already over the age designated by the Policyholder on the date of death of the Life Insured. If the Life Insured dies before the 3rd Policy Anniversary and the Death Benefit Settlement Option (iv) is selected, this selected Death Benefit Settlement Option (iv) will be revoked automatically and the Death Benefit will be payable in a lump sum. The Death Benefit Settlement Option (iv) will be available when you have only appointed one Beneficiary. We shall have the absolute discretion not to offer the Death Benefit Settlement Option. In case you exercise the Policy Split Option2, the selected Death Benefit Settlement Option will be revoked and lump sum payment will be the default settlement option for the Split Policies.
- Covered Person means the Life Insured, the Policyholder, and where applicable, the Policyholder’s Child(ren), Policyholder’s Parent(s) and Policyholder’s Spouse, who are covered under Family Accident Benefit9, and at Insurance Age5 84 or below on the Date of Designated Event Due to Accident14. However, in the event (i) the Policyholder is not an individual, or (ii) the Interim Policyholder4 becomes the new Policyholder pursuant to policy provision, the Policyholder, the Policyholder’s Child(ren), the Policyholder’s Parent(s) and the Policyholder’s Spouse (where applicable) will not be a Covered Person covered under Family Accident Benefit9.
- Total Premiums Paid is the total amount of premiums due and paid for the Basic Plan.
- Date of Designated Event Due to Accident means the date of Accidental Death of the Covered Person12, the date on which the Covered Person12 is certified by a Registered Doctor as Total Permanent Disablement or the 25th Day of continuous Hospital Confinement of the Covered Person12 (where applicable).
- Policy Amount is an amount used to determine the premiums payable under the Policy, your Guaranteed Cash Value and Special Dividend (if any) to be received under the Basic Plan of the Policy. It does not represent the amount of Death Benefit payable or cash value of your Policy.
- If the Policyholder surrenders the Policy after the cooling-off period and when the Policy is in force, the surrender proceeds to be received may be less than the total premium and levy paid. Please refer to the illustration summary of the Plan for details. If Policyholder surrenders the Policy within the policy term, the surrender proceeds payable to the Policyholder will be an amount equal to the Net Cash Value17 (if any) plus Special Dividend (if any) and Policy Value Management Balance (if any) as at the date the surrender request is processed. Upon partial surrender, the Policy Amount15 and Total Premiums Paid13 for the Basic Plan under the Policy will be adjusted and reduced proportionally and consequential adjustments will be made in the calculations of Guaranteed Cash Value, Special Dividend (if any) and Death Benefit.
- Net Cash Value means at any time, an amount equal to Guaranteed Cash Value less Indebtedness (if any).