Elite Care Critical Illness Insurance Plan

Notes:

1. The total benefit amount under “special disease benefit” and “protection shelter benefit” is up to 100% of the original sum assured. When the total benefit payout of “special disease benefit”, “critical illness benefit” and “protection shelter benefit” under the Plan has reached 100% of the original sum assured, China Life (Overseas) will also pay the face value of terminal dividend (if any) and wave the undue premiums of the Plan. Moreover, the Plan’s special disease benefit, critical illness benefit, extra critical illness benefit, death benefit, extra death benefit, protection shelter benefit, extra protection shelter benefit, parental premium waiver benefit, spousal premium waiver benefit and maturity benefit will be terminated thereafter.
2. The maximum number of claims for carcinoma-in-situ is 2 times. The second claim of a carcinoma-in-situ must be for a different organ from the first claim. If carcinoma-in-situ occurs in paired organs, including breast, fallopian tube, lung, ovary and testis, the left part and the right part of these organs are regarded as the same organ.
3. When China Life (Overseas) pays out “critical illness benefit” or “death benefit”, all paid “special disease ben-efit” (if any) and/or “protection shelter benefit” (if any), and all indebtedness (if any) will be deducted.

4. Terminal dividend is a one-off dividend and is non-guaranteed. Amount of terminal dividend shown in proposal illustration is just an indicative figure. Declared terminal dividend is not perpetually attached to the policy. It may be reduced or increased at subsequent declarations. Its actual amount will only be determined when it becomes payable. The actual amount may be lower or higher than the projected figure. Under some circumstances, actual amount of terminal dividend may be zero. The amount of the terminal dividend is affected by various factors including but not limited to the performance of the underlying investments, so the amount is relatively volatile and will move up and down over time. China Life (Overseas) reserves the right to revise the terminal dividend from time to time. Past record is not necessarily indicative of future result. For more information, please refer to clause 7 and clause 8 under “important information” and “non-guaranteed benefit” risk.

   The terminal dividend shall be paid upon the occurrence of the earliest of the following conditions:
   1. when the death benefit is paid; or
   2. 100% of the original sum assured; or
   3. the policy is surrendered; or
   4. the policy reaches the policy maturity date.
5. “Multiple critical illness benefit” will be terminated when the first of these happens:
   1. when the total benefit payout of “multiple critical illness benefit” and “extended care for children benefit” under the Plan has reached extra 320% of the original sum assured; or
   2. at the policy anniversary which the insured reaches age 88 ; or
   3. when the family pool balance of a family group of “family sharing benefit” under the Plan becomes zero.
6. The actual total benefit amount of “multiple critical illness benefit” will be adjusted according to the total benefit payout of “family sharing benefit” (if applicable) and “extended care for children benefit” (if appli-cable).
7. The critical illness the insured places a claim for “multiple critical illness benefit” or “family sharing benefit” should also satisfy the requirements below:
   1. at least 1 year between the dates of diagnosis (both dates inclusive) of such diagnosed cancer, heart attack or stroke and immediately preceding previous illness;
   2. if such cancer is a new cancer, it must be diagnosed by a specialist that it is caused by different malig-nant cells origin from the previous cancer;
   3. if such cancer is diagnosed by a specialist that it is a recurrent, metastatic or persistent cancer contin-ued from a previous cancer, at least 2 years between the dates of diagnosis (both dates inclusive) of such cancer and that previous cancer. Provided that such cancer is a persistent cancer, the insured is required to have received or have been receiving medically necessary and active treatment by a spe-cialist during the aforesaid 2-year waiting period (both dates inclusive);
   4. such heart attack is a new and separate heart attack compared with any previous illness paid under the Plan with confirmation by a specialist, at least 1 year is required between the diagnosis dates of the 2 heart attacks (both dates inclusive). Also, such diagnosis must fulfil the heart attack under the defini-tion of critical illnesses in the benefit provisions with supporting evidence of new diagnosis; and
   5. such stroke is a new and separate stroke compared with any previous illness paid under the Plan with confirmation by a specialist, at least 1 year is required between the diagnosis dates of the 2 strokes (both dates inclusive). Also, such diagnosis must fulfil the stroke under the definition of critical illness-es in the benefit provisions with supporting evidence of new diagnosis.
   
   “Previous cancer”/“previous illness” refers to the cancer(s) / critical illness(es) the insured claimed for “criti-cal illness benefit”, “multiple critical illness benefit” and/or “family sharing benefit” under the Plan.
8. Family group
   1. Under the Plan, the insured and his/her family members will be considered as a family group if they fulfil the administration procedures and meet the requirements below:
      1. The insured and/or his/her spouse and children with China Life (Overseas)’s prevailing satisfactory in-surable interest must successfully enroll into the Plan as an insured together and declare they are a family group to China Life (Overseas) upon enrollment;
      2. If the insured’s child is born after the Plan's policy effective date of the insured, application of the Plan as an insured can be submitted on or before age 1, and application for joining the family group of the insured can be submitted when all family members of the family group have never placed a claim un-der the Plan. Nevertheless, the insured’s child must be in immediate family relationship with all family members in the family group of the insured and China Life (Overseas) is satisfied with the insurable in-terest.; or
      3. If the insured’s child is an insured of “Joyful Care Critical Illness Insurance Plan” or “Joyful Care Critical Illness Rider” and never placed a claim under such plan, such policyholder can exercise the “converti-ble option for children” to convert the child’s “Joyful Care Critical Illness Insurance Plan” or “Joyful Care Critical Illness Rider” to “Elite Care Critical Illness Insurance Plan” before policy anniversary the child reaches age 21 and submit an application to China Life (Overseas) to include the child into the in-sured’s family group.
      Apart from the above conditions, no additional family member will be accepted to a family group after en-rolled.
   2. A family member can submit a written request to leave the family group to China Life (Overseas). Never-theless, all family members of the family group are not allowed to leave the family group after the “family sharing benefit” and/or “extended care for children benefit” has been paid to any family member(s) in the family group.
9. Family pool
   1. “Family pool”/“family pool balance” refers to “family pool”/“family pool balance” under the Plan’s policy document.
   2. Family pool/family pool balance will be adjusted in accordance with the conditions below. Family pool balance may become zero in some circumstances.
      1. the child(ren) of any family member(s) in the family group who was born after the policy effective date and applies for the Plan on or before the birthday which the insured’s child(ren) reaches 1 year old with successful application to join the family group;
      2. the exercise of “convertible option for children” of the “Joyful Care Critical Illness Insurance Plan” or the “Joyful Care Critical Illness Insurance Rider” of the child(ren) of any of family(s) member in the family group;
      3. death of any family member(s) in the family group;
      4. the policy anniversary of which any of the family member(s) in the family group reaches age 88 ;
      5. any family member(s) in the family group successfully applied to leave the family group; or
      6. the policy(ies) of any family member(s) in the family group is surrendered ,lapsed or terminated.
10. Extended care for children benefit.
    1. To enjoy “extended care for children benefit”, the policyholder must successfully register the insured’s children into the insured’s “Elite Care Critical Illness Insurance Plan” before the policy/rider effective date of the children’s “Joyful Care Critical Illness Insurance Plan” or “Joyful Care Critical Illness Rider”.
    2. The critical illness the Insured places a claim for “extended care for children benefit” should also satisfy the waiting period requirements below:
       1. At least 1 year between the dates of diagnosis (both dates inclusive) of such diagnosed cancer, heart attack or stroke and immediately preceding previous illness of insured’s child(ren);
       2. such new cancer diagnosed by a specialist is caused by different malignant cells origin from any previous illness of the insured’s child(ren) which is a cancer;
       3. such cancer diagnosed by a specialist as a recurrent, metastatic or persistent cancer continued from the previous illness of the insured’s child(ren) which is a cancer, at least 2 years are re-quired between the diagnosis dates of the 2 cancers stated above (both dates inclusive). Provid-ed that such cancer is a persistent cancer, the insured’s child(ren) is required to have received or have been receiving medically necessary and active treatment by a specialist during the aforesaid 2-year waiting period (both dates inclusive);
       4. such heart attack is a new and separate heart attack compared with any previous illness of In-sured’s child(ren) paid under the Plan which is heart attack with confirmation by a specialist, at least 1-year is required between the date of diagnosis of the 2 heart attacks stated above (both dates inclusive, also such diagnosis must fulfil the heart attack under the definition of critical ill-nesses in the benefit provisions with supporting evidence of new diagnosis; and
       5. such stroke is a new and separate stroke compared with any previous illness of insured’s child(ren) paid under the Plan which is stroke with confirmation by a specialist, at least 1-year is required between the diagnosis dates of the 2 strokes stated above (both dates inclusive, also such diagnosis must fulfil the stroke under the definition of critical illnesses in the benefit provi-sions with supporting evidence of new diagnosis.
       “Previous illness of insured’s child(ren)” refers to any one of the followings, whichever is later:
       1. the critical illness which was previously paid under the “critical Illness benefit” of the “Joyful Care Critical Illness Insurance Plan” or the “Joyful Care Critical Illness Insurance Rider” of the in-sured’s child(ren); or
       2. the critical illness which was previously paid under the “extended care for children benefit” of the Plan for the insured’s child(ren).
    3. “Extended care for children benefit” will be terminated when the first of these happens:
       1. the policy anniversary which the insured reaches age 88;
       2. the birthday which the Insured’s children reaches age 21;
       3. the total benefit payout of “multiple critical illness benefit” and “extended care for children bene-fit” of the Plan has reached 320% of the original sum assured; or
       4. the family pool balance of the Plan becomes zero.
11. “Parental premium waiver benefit” refers to premium waiver benefit for death of parents” under the Plan’s policy document while “spousal premium waiver benefit” refers to premium waiver benefit for death of spouse” under the Plan’s policy document.
12. Infectious disease refers to any of the prevailing infectious diseases listed in Schedule 1 of the Prevention and Control of Disease Ordinance (Cap. 599 of the Laws of Hong Kong).
13. In addition to premiums, you have to pay policy fee of HKD200/USD25 (subject to policy currency) per year during the premium payment term.
14. If the required renewal premium is paid by you within the grace period, the policy shall continue to be in force. For details, please refer to the policy provisions issued by China Life (Overseas). If the policy is lapsed or surrendered early, the policy cash value received by you may be considerably less than the total amount of the premium paid.
15. If you choose the annual and premium prepayment option, you can withdraw the unused prepaid premium (including interest, if any) at one time. China Life (Overseas) will charge 2% of the withdrawal amount, at a minimum amount of HKD100/USD12.5. You can withdraw the unused prepaid premium once only. The in-terest rate of prepaid premium is not guaranteed.

Important Information