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Friday, June 24, 2011

Ming an insurance terms of alleged abuse suspected fraud

Foreign travel medical insurance reference to national standards for payment? "I buy overseas travel insurance, chuxian treatment abroad by domestic standards for payment. "Recently, briefed reporters, du Ming an insurance customer looked dazed when he encounters, and questioned the payment of the insurance companies pay less behavior is to whip the abuse provisions, was arrested for fraud. This year March early, du Mr in to France handling visa Shi insured has a copies service insurance provides of service (China) outside travel accident hurt, and medical and the emergency rescue insurance voucher visa plan under, this a plan provides has death, and disability, and burn, and accident medical, and acute viral medical, more item insurance responsibility, which set acute viral medical lost pay ceiling for 160,000 yuan (RMB), insurance period for 10 days. Recommended reading insurance weekly: Storm safe involvement haixin shares owned pipe investigation storm disaster danger-don't forget to vote Wade was the protection of health is expected within months of funds granted 1 billion insurance product specification for more selling short China insurance regulatory Commission to be more variable annuity insurance into a bear market life-saving straw tendencies on the other side of risk capital investment balance? Decipher the trader password, grasp the main trends of this seemingly Mr du departure insurance plan provides comprehensive protection, in the claims process there was "misfortune". Reportedly, the du in a pathogenesis during travel abroad on March 6 in France implementation of cholecystectomy in local hospitals, pay around 20,000 euros (equivalent to approximately $ 189,000), pursuant to the proposal form, du Pont received $ 160,000 from the Ming an insurance claim payment. However, when du returned to handle claims, Ming an insurance that will, in accordance with domestic standards of treatment of the acute viral $ 18,000 paying insurance benefits, this means that the cost of about $ 170,000 of which would be borne by the du Pont himself. "In accordance with industry practice, should pay full or proportional to actual medical expenses within the limit for payment, without reference to national standards, or loss of insured outside of meaning. "Insurance experts think. Most overseas travel insurance business insurance companies also said that should use tricks to chuxian medical expenses paid. "Admit I had no history of the company, has admitted this is acute onset, but according to the standards of three hospitals in the country for payment. "Mr du was puzzled about the," If in domestic payment, I can be resolved through social health insurance. While Ming an insurance-related claims processing staff are explained, claim is subject to policy terms. "Journalists check insurance plan related articles found by Mr du," acute medical insurance benefits "are listed under note about accident claims, such as" If the insured person from outside of China, Taiwan, Hong Kong and Macao regions caused by accidental injury of the medical cost reference to domestic local payment for equal standards of diagnosis and treatment in medical institutions ". Insurance analysts pointed out that displayed will confuse accidents of acute medical care and medical insurance terms designed to be rigorous, the above comment is not enough to become the basis for the payment of. Progress on payment, du has pointed out, currently with Ming an insurance is communication, trying to increase the payment to resolve the dispute, but when the case is unknown. Ming an insurance in the absence of complete claims processing at the same time, also gave no repudiation of writing, this is clearly new and does not correspond to the relevant provisions of the Insurance Act. New insurance under on claims time by made of provisions as, was insurer claims Shi, insurance company think was insurer, provides of claims material not full of, should "timely one-time written description"; and requirements insurance company in received claims application Hou, should in 30th within made approved (except another has conventions outside), if clear has belonging to claims range of, to in lost pay agreement reached Hou 10 days within paid reparations, not belonging to insurance responsibility of, to in approved of day up 3 days within issued repudiation notice and description reasons. Du claims case from the chuxian claims currently has more than 3 months. In response, said Ming an insurance person admit this time limit has been exceeded, but said that in this process the company has been in communication with the insured, has never stopped, and said an investigation is currently abroad, will give out the recent payment scheme. Report by reporter Cui Qibin/CFP/(function () {varobj=null;if (document.getElementById ('page2011nav')) {obj=document.getElementById ('page2011nav');} elseif(document.getElementById('arctTailMark')){obj=document.getElementById('arctTailMark');} if(obj!=null){varstr='';try{varoo=obj.previousSibling;while(oo.nodeType!=1|| oo.innerHTML.replace(/\s|\u3000/g,'').length==0){oo=oo.previousSibling;} if(oo.nodeType==1&&oo.tagName.toLowerCase()=='p'){varspan=document.createElement('span');span.innerHTML=str;oo.appendChild(span);}} catch(e){}}})();