| Declaration for AccidentSurance I, on behalf of each of myself, my spouse and my child/children (if any), hereby declare as follows: | |||||||||||
| 1. | I (Insured)/We (Insured, insured spouse and insured child/children) hereby apply for AccidentSurance within the Hong Kong Special Administrative Region and declare that the statements and particulars given in this application are to the best of my/our knowledge and belief, true and complete, and that this application will form the basis of my/our contract with HSBC Insurance (Asia) Limited. | ||||||||||
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I/We further declare that:
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| 3. | I/We understand that insured person(s) who engage in work or activities listed in the Hazardous Activities List, will receive no benefits under the policy for Accidental Injury, Death or Medical Expenses which result from or are caused directly or indirectly by an Accident whilst carrying out such work or activity. | ||||||||||
| 4. | I/We have read and understood the Personal Information Collection Statement, Terms and Conditions and the Policy Wording of this AccidentSurance and agree to be bound by the same. | ||||||||||
| 1. | Eligibility (age limits) Applicant's family members are:
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| 2. | Benefits Payable
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| 3. | Premium Payment Method Premiums may be paid by direct debit to a designated credit card account. |
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| 4. | Renewal Agreement AccidentSurance will be renewed upon payment of premium when due, otherwise it will be cancelled automatically. |
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| 5. | Refund of Premium
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| 6. | Privacy and Security Statement Once you submit an online application of this AccidentSurance, you shall be deemed to have read, understood and agreed to the Privacy and Security Statement. If you have not already read this Statement, please do so by clicking here. |
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| Please refer to Policy Wording for full detailed terms and conditions. For more information, please call HSBC Insurance Service Hotline on (852) 2583 8000. | |||||
| Declaration for Fire Insurance | |||||||||||||||
| 1. | I (Applicant) have read and understood the Personal Information Collection Statement. | ||||||||||||||
| 2. | I hereby apply for Fire Insurance within the Hong Kong Special Administrative Region and declare that the statements and particulars given in this application are to the best of my knowledge and belief, true and complete, and this application will form the basis of my contract with HSBC Insurance (Asia) Limited. I further declare that:
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| 1. | Eligibility Applicant must be 18 (by last birthday) or over. |
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| 2. | Insurance Coverage and Clauses
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| 3. | Premium Payment Method Premium can be paid by direct debit to designated credit card account. |
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| 4. | Renewal Agreement Renewal letter will be sent to your last known correspondence address about 45 days prior to your policy's annual expiry date. The policy will be automatically renewed for another year on successfully debiting the annual premium from your designated direct debit account. |
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| 5. | Refund of Premium This Policy Wording is subject to minimum payment of HK$400 or following short period refund rate, whichever is higher.
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| 6. | Privacy and Security Statement Once you submit an online application of this Fire Insurance, you shall be deemed to have read, understood and agreed to the Privacy and Security Statement. If you have not already read this Statement, please do so by clicking here. |
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| Please refer to the Policy Wording for details on Exclusions, Geographical limits, Termination notice, Governing Version and terms and conditions. For further information, please call HSBC Insurance Service Hotline on (852) 2583 8000. | ||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1. | Eligibility The following family members of the applicant who are eligible for coverage:
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| 2. | Premium Payment Premium must be paid by direct debit from a designated credit card account. |
| 3. | Renewal Arrangement
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| 4. | Change of plan Change of plan type is not allowed during the policy period. For change of plan type upon policy renewal, you should submit your request for change at least one month before policy expiry. Any change if approved will only be effective upon policy renewal. |
| 5. | Refund of premium This policy is subject to the payment of the annual premium in advance which is subject to premium refund rule of the policy unless the policy is cancelled within 15 days of the receipt of the policy. |
| 6. | Privacy and Security Statement Once you submit an online application for FirstCare, you shall be deemed to have read, understood and agreed to the Personal Information Collection Statement and Privacy and Security Statement. If you have not read these Statements, please do so by clicking Personal Information Collection Statement and Privacy and Security Statement. |
| 7. | Outpatient Benefit If you have selected the optional outpatient benefit, the valid FirstCare Card must be presented on registration at the network clinic in order to receive the outpatient benefit. |
| Please refer to the Policy Wording for full policy terms and conditions. For further information, please call HSBC Insurance Service Hotline on (852) 2583 8000. | |
| Declaration for Golfer's Insurance Package | |||||||||||
| 1. | I (Insured)/We (Insured and insured's spouse) have read and understood the Personal Information Collection Statement. | ||||||||||
| 2. | I/We understand that this application will form the basis of my/our contract with HSBC Insurance (Asia) Limited. | ||||||||||
| 3. | I/We hereby apply for Golfer's Insurance Package within the Hong Kong Special Administrative Region and declare that the statements made in or in connection with this application are true and complete and that I/we have not withheld any material facts which are likely to affect acceptance or assessment of the insurance cover requested. I/We understand that in case of doubt as to whether HSBC Insurance (Asia) Limited should be informed of certain facts, I/we should call HSBC Insurance Service Hotline on (852) 2583 8000. Failure to disclose any material facts referred to above may mean that the Policy will not provide the Insured Person(s) with the required coverage, or may invalidate the Policy altogether.
I/We further declare that
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| 4. | I/We understand and agree that no refund of premium will be made once the insurance is effected. | ||||||||||
| 5. | I/We understand that HSBC Insurance (Asia) Limited will send an "invitation to renew" to us regarding renewal of the Policy in the future and my/our application for renewal of the Policy is subject to the approval of HSBC Insurance (Asia) Limited. | ||||||||||
| 6. | I/We have read and understand the Terms and Conditions and the Policy Wording |
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| 1. | Customers should refer to the Terms and Conditions set out below and the Policy Wording |
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| 2. | Golfer's Insurance Package is specially designed for individuals or couples who are amateur golfers. | ||||||||||
| 3. | Golfer's Insurance Package is only available to individuals or couples who are Hong Kong Special Administrative Region residents. | ||||||||||
| 4. | Eligibility (age limits)
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| 5. | Insurance Coverage
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| 6. | Premium Payment Method Premium can only be paid by direct debit to designated credit card account of the Insured. |
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| 7. | Exclusions Please refer to the Policy Wording |
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| 8. | Renewal Agreement Renewal letter will be sent to your last known correspondence address about 45 days prior to your policy's premium due date. The policy will be automatically renewed for another year on successfully debiting the annual premium from your designated direct debit account. |
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| 9. | Privacy and Security Statement Once you submit an online application for this Golfer's Insurance Package, you will be deemed to have read, understood and agreed to the Privacy and Security Statement which can be obtained by clicking here. |
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| 10. | Governing Version The English version of these Terms and Conditions shall prevail wherever there is a discrepancy between the English version and the Chinese version. |
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| Please refer to the Policy Wording for detailed terms and conditions. To obtain further information or make a claim, please call HSBC Insurance Service Hotline on (852) 2583 8000. | |||||||||||
| Declaration for Helper Insurance | |||||||||
| 1. | I (Applicant) have read and understood the Personal Information Collection Statement. | ||||||||
| 2. | I hereby apply for Helper Insurance within the Hong Kong Special Administrative Region and declare that the statements and particulars given in this application are to the best of my knowledge and belief, true and complete, and this application will form the basis of my contract with HSBC Insurance (Asia) Limited. I further declare that:
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| 1. | Eligibility Applicant must be 18 (by last birthday) or over. |
| 2. | Premium Payment Method Premium can be paid by direct debit to designated credit card account. |
| 3. | Renewal Agreement Renewal letter will be sent to your last known correspondence address about 45 days prior to your policy's premium due date. The policy will be automatically renewed for another year on successfully debiting the annual premium from your designated direct debit account. |
| 4. | Refund of Premium All premium paid will at all times be subject to the Premium Refund Rules upon the termination of the policy, except where it is cancelled within 15 days of the receipt of the policy (i.e. from the date of application), a full refund will be made, provided that there is no claim record under your policy during the period of insurance. |
| 5. | Health check-up for Insured Helper at a special price You can obtain full redemption details on special medical check-up offer from the acknowledgement page or the policy schedule. |
| 6. | Privacy and Security Statement Once you submit an online application of this Helper Insurance, you shall be deemed to have read, understood and agreed to the Privacy and Security Statement. If you have not already read this Statement, please do so by clicking here. |
| Please refer to the Policy Wording for details on Exclusions, Geographical limits, Termination notice, Governing Version and terms and conditions. For further information, please call HSBC Insurance Service Hotline on (852) 2583 8000. | |
| Declaration for HomeSurance | |||||||||||
| 1. | I, on behalf of each of myself and the joint applicant (if any), hereby apply for HomeSurance within the Hong Kong Special Administrative Region and declare that the statements and particulars given in this application are to the best of my/our knowledge and belief, true and complete, and that this application will form the basis of my/our contract with HSBC Insurance (Asia) Limited. I/We further declare that:
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| 2. | I/We have read and understood the Personal Information Collection Statement, Terms and Conditions and the Policy Wording of this HomeSurance and agree to be bound by the same. | ||||||||||
| 1. | HomeSurance is specially designed solely for domestic use in residential building, house, apartment or flat being situated in the Hong Kong Special Administrative Region (Hong Kong SAR). All structure of the home must be under legal construction. | ||||
| 2. | Premium Payment Method Premiums may be paid by direct debit to a designated credit card account. |
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| 3. | Basis of Coverage This insurance coverage for Household Content and Worldwide All Risks cover is based on 'New For Old'; that is, repairing the damaged property or replacing the property if stolen or beyond repair with a new article of the same kind which is of similar but not better quality. |
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| 4. | The successful applicant and his/her family members (including spouse, children, parents and other relatives permanently living with you in the home) must comply with all statutory obligations and take all reasonable steps to prevent loss, damage or injury; and maintain the home in efficient condition and good repair. | ||||
| 5. | The successful applicant must advise us of any change in his/her occupation of the premises, any permanent move of the home or circumstance which would increase the possibility of loss or damage. Premiums may be adjusted accordingly. | ||||
| 6. | Renewal Agreement HomeSurance will be renewed upon payment of premium when due, otherwise it will be cancelled automatically. |
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| 7. | Refund of Premium
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| 8. | Privacy and Security Statement Once you submit an online application of this HomeSurance, you shall be deemed to have read, understood and agreed to the Privacy and Security Statement. If you have not already read this Statement, please do so by clicking here. |
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| Please refer to Policy Wording for full detailed terms and conditions. For more information or to make a claim, please call HSBC Insurance Service Hotline on (852) 2583 8000. | |||||
| Declaration for HospitalSurance I, on behalf of each of myself, my spouse and my child/children (if any), hereby declare as follows: | |||||||||||||
| 1. | I (Insured)/We (Insured, insured spouse and insured child/children) hereby apply for HospitalSurance within the Hong Kong Special Administrative Region and declare that the statements and particulars given in this application are to the best of my/our knowledge and belief, true and complete, and that this application will form the basis of my/our contract with HSBC Insurance (Asia) Limited. | ||||||||||||
| 2. | I/We further declare that:
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| 3. | I/We acknowledge that benefits are not payable under the HospitalSurance scheme for treatment arising from any existing illnesses, injuries or other conditions. | ||||||||||||
| 4. | I/We have read and understood the Personal Information Collection Statement, Terms and Conditions and the Policy Wording of this HospitalSurance and agree to be bound by the same. | ||||||||||||
| 1. | Eligibility (age limits) | ||||||
| Applicant's family members are: | |||||||
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| 2. | Benefits Payable | ||||||
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| Note: Benefit for hospitalisation in mainland China is subject to 50% of the specified limit. | |||||||
| 3. | Premium Payment Method Premiums may be paid by direct debit to a designated credit card account. |
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| 4. | Renewal Agreement HospitalSurance will be renewed upon payment of premium when due, otherwise it will be cancelled automatically. |
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| 5. | Refund of Premium | ||||||
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| 6. | Privacy and Security Statement | ||||||
| Once you submit an online application for HospitalSurance, you shall be deemed to have read, understood and agreed to the Privacy and Security Statement. If you have not already read the Privacy and Security Statement, please do so by clicking here. | |||||||
| Please refer to the Policy Wording for full policy terms and conditions. For further information, please call HSBC Insurance Service Hotline on (852) 2583 8000. | |||||||
| Declaration for TravelSurance | |
| 1. | I hereby declare that I have been duly authorised by each of the persons covered under this application including guardian(s) of the child(ren) mentioned in this application (together, the "Insured Persons" and each an "Insured Person") to apply for TravelSurance and to make the following declarations for and on his/her/their behalf. I also hereby declare that each of the Insured Persons has agreed to the information under this application including under these Declarations, and that it is a condition precedent to obtaining coverage for each such person that such Insured Person has agreed to all such information. (This declaration is not applicable to an applicant applying for his/her own insurance only.) |
| 2. | I, and on behalf of each of the Insured Person(s), hereby apply for TravelSurance within the Hong Kong Special Administrative Region, deemed and accepted to constitute separate insurance in respect of each such Insured Person, and declare that the statements and particulars given in this application are to the best of the knowledge and belief of each of the Insured Person(s), true and complete and that this application will form the basis of the contract of the Insured Person(s) with HSBC Insurance (Asia) Limited. I/Each of the Insured Person(s) understand(s) and agree(s) that no insurance will be effected until the application is approved and the premium is received by HSBC Insurance (Asia) Limited. |
| 3. | I, and on behalf of the Insured Person(s), confirm that (i) I/all the Insured Person(s) are 85 years of age or younger (applicable to Single Trip TravelSurance) / 75 years of age or younger (applicable to MultiTrip TravelSurance); (ii) all dependent unmarried children are no younger than six months and no older than 16 years of age; and (iii) all persons described in (i) and (ii) above are residents of the Hong Kong Special Administrative Region and have never been denied travel insurance. |
| 4. | I, and on behalf of the Insured Person(s), hereby acknowledge and warrant that: I will not/None of the Insured Person(s) will be travelling contrary to the advice of any medical practitioner or travelling in order to receive medical treatment. I do not know/None of the Insured Person(s) knows of any condition, cause or circumstance existing that may necessitate the cancellation or curtailment of the planned journey. |
| 5. | I and each of the Insured Persons have read and understood the Personal Information Collection Statement, Terms and Conditions and the Policy Wording of this TravelSurance and agree to be bound by the same. |
| 1. | TravelSurance is specially designed for individuals, family members, relatives and friends who are travelling on a journey that originates from the Hong Kong SAR only. | ||||||||||||
| 2. | Period of Insurance
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| 3. | Eligibility (age limits)
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| 4. | Premium Payment Method Premiums may only be paid by direct debit to designated credit card account |
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| 5. | Extension of Period of Insurance To extend the period of insurance (applicable only to Single Trip TravelSurance) after the policy is issued, please call 2583 8000 or visit our branches for arrangement before the expiry of policy. The extension will be applicable to all the insured persons under the policy. The minimum additional premium is HK$30. |
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| 6. | HSBC Insurance Emergency Assistance Hotline (852) 2528 9333 (collect call is accepted). Services including the below:
The above services are provided by Inter Partner Assistance Hong Kong Limited. |
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| 7. | Application for the China Medical Card For internet applications, if any of the Insured Persons under "Self & Spouse", "Self & Children" and "Self, Spouse & Children" plans are to be covered by the China Medical Card, all Insured Persons under that policy must apply for an individual card. If not all the Insured Persons require China Medical Card, please call 2583 8000 or visit our branches for arrangement. |
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| 8. | Cancellation Single Trip TravelSurance Once the application is approved, the premium will not be refundable unless you cancel the policy upon issuance of a travel alert for the planned destination by the Government of Hong Kong Special Administrative Region. MultiTrip TravelSurance Once the application is approved, the insurance can be cancelled during the Period of Insurance by giving notice in writing to HSBC Insurance (Asia) Limited. Such cancellation shall be effective upon the notice being received by HSBC Insurance (Asia) Limited. The premium for the Insured Period shall be calculated based on the short period premium table provided that the refunded premium does not exceed 50% of the annual premium. China Medical Card Once the application is approved, the China Medical Card option may be cancelled by giving notice in writing to HSBC Insurance (Asia) Limited during the Period of Insurance or by canceling the MultiTrip TravelSurance policy. Such cancellation shall be effective upon the notice being received by HSBC Insurance (Asia) Limited or on the cancellation date of the MultiTrip TravelSurance policy. No refund of premium will be made once the insurance is effected. |
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| 9. | Privacy and Security Statement Once you submit an online application of this TravelSurance, you shall be deemed to have read, understood and agreed to the Personal Information Collection Statement and Privacy and Security Statement. If you have not already read these Statements, please do so by clicking Personal Information Collection Statement and Privacy and Security Statement. |
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| Please refer to the Policy Wording for detailed terms and conditions. For more information, please call HSBC Insurance Service Hotline on (852) 2583 8000. | |||||||||||||