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eCancerPro Insurance Plan
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Important: This plan is only available to existing Hang Seng bank account holders who hold a valid HKID card subject to certain eligibility restrictions on address in USA, Japan and People's Republic of China
Please input your details to get an instant quote
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Gender
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Smoking Habit
If you have been smoking tobacco with nicotine in the past 12 months, your premium should be calculated based on smoker rate
If you have been smoking tobacco with nicotine in the past 12 months, your premium should be calculated based on smoker rate
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Date of Birth
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Do you have a child that is aged below 18 years old?
There is a free shared benefits for your child (only one) who is aged below 18 in the policy.
<Free sharing protection>
There is a free shared benefits for your child (only one) who is aged below 18 in the policy.
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How much cover do you need?
When choosing the level of sum insured, in addition to the medical expenses, you may consider how much family expenses would be needed to maintain your living standard if you were diagnosed with cancer. For example, if the anticipated medical expenses is HKD800,000, and the 24 months of your family expenses is HKD700,000, the total sum insured needed is the total of HKD1,500,000.When choosing the level of sum insured, in addition to the medical expenses, you may consider how much family expenses would be needed to maintain your living standard if you were diagnosed with cancer. For example, if the anticipated medical expenses is HKD800,000, and the 24 months of your family expenses is HKD700,000, the total sum insured needed is the total of HKD1,500,000.
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I agree to the terms set out in the Personal Information Collection Statement including the use by Hang Seng Insurance Company Limited ("HSIC") of my personal information provided above and below in accordance with the statement.
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Your Quote Details
eCancerPro Insurance Plan Sum Insured
HKD
This covers |
Monthly Premium#
HKD
You enjoy months premium waiver.
Please read the Promotion Terms & Conditions
(+ $ Initial levy
*Levy: Effective from 1 January 2018, the Insurance Authority ("IA") will impose a prescribed levy on this insurance policy pursuant to section 134 of the Insurance Ordinance (Cap. 41). Such levy payment should be made together with the premium payment to Hang Seng Insurance Company Limited for direct remittance to the IA within the remittance period as specified by the IA. Subject to the applicable levy cap, the amount of levy payable for each premium payment is the amount of premium multiplied by the applicable levy rate as prescribed by IA. For more information, please click here
to visit our website.
)
*Levy: Effective from 1 January 2018, the Insurance Authority ("IA") will impose a prescribed levy on this insurance policy pursuant to section 134 of the Insurance Ordinance (Cap. 41). Such levy payment should be made together with the premium payment to Hang Seng Insurance Company Limited for direct remittance to the IA within the remittance period as specified by the IA. Subject to the applicable levy cap, the amount of levy payable for each premium payment is the amount of premium multiplied by the applicable levy rate as prescribed by IA. For more information, please click here
to visit our website.
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What is covered for you in this Plan?
A Child Shares All the Benefits for Free
No additional underwriting, premium or waiting period for the covered child under age of 18.Carcinoma-in-situ / Early Stage Cancer Benefit
If the Life Insured is diagnosed with Carcinoma-in-situ or Early Stage Cancer (including such as penis. testis tumor), we will pay an advanced benefit equivalent to 20% of the Sum Insured. A maximum of two claims under different organs will be paid under the Plan.Carcinoma-in-situ / Early Stage Cancer Benefit
If the Life Insured is diagnosed with Carcinoma-in-situ or Early Stage Cancer (including such as uterus tumor, ovary tumor), we will pay an advanced benefit equivalent to 20% of the Sum Insured. A maximum of two claims under different organs will be paid under the Plan.Cancer Benefit plus Death Benefit
If the Life Insured is diagnosed with cancer, a lump-sum benefit equal to the total or remaining balance of the Sum Insured will be paid under the Cancer Benefit. Upon the unfortunate passing away of the Life Insured, the beneficiary(ies) will receive the total or remaining balance of the Sum Insured as a Death Benefit instead.No Waiting Period or Survival Period
The coverage is in effect immediately after the policy is approved. Premium will only be adjusted every 10 years so you can plan your finances easily. Renewal of the plan is guaranteed to age 79, regardless of the Life Insured's health status.Online application takes about 5 minutes only without the hassle of providing documentation or medical examinations.
#Premiums are fixed within the first 10 years. To read about your future premiums payable for this plan, please refer to Premium Illustration.
For product features, please refer to Product Summary in Product Brochure .
For full terms and conditions, please refer to Policy Provisions .
Who is eligible? What is the requirement?
- eCancerPro Insurance Plan is only available to you if you hold a Hang Seng bank account.
- You must also be between the Age of 18 and 60 and have a Hong Kong Identity Card.
- Your monthly payment should be debited from your Hang Seng bank account or Hang Seng credit card account.
What are the major exclusions?
Please note that eCancerPro Insurance Plan will not cover any Cancer, Carcinoma-in-situ or Early Stage Cancer that result from any of the following: i) intoxication by alcohol or drugs not prescribed by a Registered Doctor; ii) any congenital conditions or genetic disorder or developmental conditions, which has manifested or was diagnosed before the Life Insured or the Covered Child (where applicable) attains 18 years of Insurance Age; or iii) any pre-existing condition or illness.
Pre-existing Condition means any condition or illness, any signs or symptoms of condition or illness, any laboratory test or investigation that shows the likely presence of the condition or illness, any cause or triggering condition to Cancer, Carcinoma-in-situ or Early Stage Cancer that exist before the policy takes effect.
For details of exclusions of this plan, please refer to the Product Brochure and Policy Provisions .
eCancerPro Insurance Plan
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Medical Questions
These questions help us understand your health. It is important to answer truthfully in order to ensure your coverage is valid. The great news is we will only ask about your health now and any change in your health after the policy is issued will not impact your policy.
These questions help us understand your health. It is important to answer truthfully in order to ensure your coverage is valid. The great news is we will only ask about your health now and any change in your health after the policy is issued will not impact your policy.
Important: This plan is only available to existing Hang Seng bank account holders who hold a valid HKID card subject to certain eligibility restrictions on address in USA, Japan and People's Republic of China
The information you provided below will form the basis for underwriting and assessing any claims in the future:
1.Have you been diagnosed with Cancer, Heart Disease or Stroke?
2.In past 5 years, have you been diagnosed or suffered from Diabetes, HIV related conditions, AIDS or any condition(s) affecting your brain, thyroid, blood, heart, lungs, gastric, breast, liver, kidney, uterus, ovaries, colon, prostate?
2a.Are the results of all investigation performed on any of the declared signs or symptoms abnormal and that treatment more than 30 days or ongoing follow up was required?
3.In the past year, have you had any symptoms such as unexplained bleeding or fever, weight loss, lumps or growth for which are yet to receive investigation or medical advice?
4.Do you have two or more natural parents or siblings with heart disease, diabetes, renal failure, or cancer of breast, ovaries, nose, throat, or colon before aged 50?
eCancerPro Insurance Plan
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Important: This plan is only available to existing Hang Seng bank account holders who hold a valid HKID card subject to certain eligibility restrictions on address in USA, Japan and People's Republic of China
Please input all the below details in English
Applicant/ Insured Person Information
This is the person whose life is being insured. We are only able to offer insurance to holders of a valid HKID and this HKID must match with the one you have on record with us. The applicant, insured person and the payment account holder must be the same person for this plan.
This is the person whose life is being insured. We are only able to offer insurance to holders of a valid HKID and this HKID must match with the one you have on record with us. The applicant, insured person and the payment account holder must be the same person for this plan.
- Last Name
(As printed on HKID card) -
- First Name
(As printed on HKID card) -
- HKID Card No.
(e.g. A123456(1)) -
( )
- Date of Birth
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Year Month Day
Contact Information
- E-mail address
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The above email address will only be used for sending a confirmation email to confirm successful application, it will not be used to update the personal record of Hang Seng & Hang Seng Insurance
Covered Child Information (Covered age from newborn to 17 years old)
- Last Name
(As printed on Birth Cert. or HKID card) -
- First Name
(As printed on Birth Cert. or HKID card) -
- Birth Cert No. / HKID Card No.
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Date of Birth
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- Gender
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Male
Female
Notes
- Only one child with insurance age below 18 may be nominated as the Covered Child under the Child Benefit.
- Only natural child or legally-adopted child in the Hong Kong SAR of the applicant (policyholder) will be covered.
- The Child Benefit shall cease at the policy anniversary at which the Covered Child attains the insurance age of 18.
- The maximum payout under Child Benefit is HK$1,500,000 per Covered Child across all eCancerPro Insurance Plan policies issued by Hang Seng Insurance Company Limited.
- Hang Seng Insurance Company Limited reserves the right to accept or reject the nomination of the Covered Child for the Child Benefit under the Policy. A written confirmation to effect the Child Benefit will be sent to the applicant (policyholder) once it is approved by Hang Seng Insurance Company Limited.
- Under no circumstances shall there be any subsequent change of the Covered Child once nomination is approved by Hang Seng Insurance Company Limited.
Beneficiary
Beneficiary would receive the death benefits in the form of a cash payment. You may add, remove or change beneficiaries after your policy has been issued.
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Own EstateYour selection of "Own Estate" confirms that the death claimed amount will be paid out in accordance with inheritance law of Hong Kong.Your selection of "Own Estate" confirms that the death claimed amount will be paid out in accordance with inheritance law of Hong Kong.
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Name Relationship ID No.* *Please provide either beneficiary’s HKID card no., passport no. or any other identification no. that can verify the beneficiary’s identity for claims purpose.Allocation %
(The grand total should be 100%)*Please provide either beneficiary’s HKID card no., passport no. or any other identification no. that can verify the beneficiary’s identity for claims purpose. Add BeneficiaryImportant Note: Please note that additional document(s) is/are required for processing your application as verification is necessary for the nomination of your beneficiary relationship(s), you will receive a follow up letter regarding the required additional document(s). Please call our eCancerPro Hotline at 2998 8038 if you have any questions.Please enter the Name/ Relationship/ ID No. /Allocation % of Beneficiaries.
Please enter only alphabet letters for your benficiary's Name.
Please enter valid benficiary's ID No..
Please enter only numeric integer for Allocation %.
Please enter integer for Allocation %.
Please modify the percentage as the total has to be added up into 100%.
You can review and edit your responses before submitting your final application.
eCancerPro Insurance Plan
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Payment Details
- Account Holder
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- Hang Seng Saving Account No.
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- Hang Seng Credit Card Account No.
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-- -- --
- Expiry Date
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Note: The applicant and payment account holder must be the same person.
eCancerPro Insurance Plan Sum Insured
HKD
This covers
|
Monthly Premium
HKD
You enjoy months premium waiver.
Please read the Promotion Terms & Conditions
(+ $ Initial levy
*Levy: Effective from 1 January 2018, the Insurance Authority ("IA") will impose a prescribed levy on this insurance policy pursuant to section 134 of the Insurance Ordinance (Cap. 41). Such levy payment should be made together with the premium payment to Hang Seng Insurance Company Limited for direct remittance to the IA within the remittance period as specified by the IA. Subject to the applicable levy cap, the amount of levy payable for each premium payment is the amount of premium multiplied by the applicable levy rate as prescribed by IA. For more information, please click here
to visit our website.
)
*Levy: Effective from 1 January 2018, the Insurance Authority ("IA") will impose a prescribed levy on this insurance policy pursuant to section 134 of the Insurance Ordinance (Cap. 41). Such levy payment should be made together with the premium payment to Hang Seng Insurance Company Limited for direct remittance to the IA within the remittance period as specified by the IA. Subject to the applicable levy cap, the amount of levy payable for each premium payment is the amount of premium multiplied by the applicable levy rate as prescribed by IA. For more information, please click here
to visit our website.
|
Declarations
- I, as Policy Applicant and payment account holder, confirm that I am not acting on behalf of any other person, and that I authorize Hang Seng Bank Limited ("HASE") to debit from the specified account for initial and subsequent premiums and applicable levy due as shall be instructed by Hang Seng Insurance Company Limited ("HSIC") from time to time.
- I am in Hong Kong at the time of making this online application.
- I understand that my personal information supplied in this application will be used in accordance with Personal Information Collection Statement and that any request to change my personal information in HSIC's records must be made through branches of HASE or as specified under Clause 5 of the said Statement.
- All statements and information I have provided in this application are complete and true and I will immediately inform HSIC and correct them if they have become incomplete, untrue or inaccurate subsequently before any policy is issued.
- All personal information that I have most recently provided to HASE such as ID documents, nationality, mobile number and payment account correspondence address is accurate and up to date and I consent to HASE providing my personal information to HSIC or any member of the HSBC Group ("HSBC Group" means HSBC Holdings plc, its affiliates, subsidiaries, associated entities and any of their branches and offices (together or individually) and "member of the HSBC Group" has the same meaning) and any agents, contractors, sub-contractors, service providers for the purpose of evaluating and processing this application. I understand that updated personal information such as ID documentation may be requested by HSIC if necessary, and the policy may not be issued if any such requested information or documents are not provided within a specified time.
- I understand that submission of this application does not guarantee its approval, and that a policy will only be approved after (i) the satisfaction of HSIC's prevailing eligibility requirements and principles of underwriting rules and (ii) the first premium payment has been processed. If the application is approved, the policy will be made effective from the date a valid application was submitted.
- Cooling-off Rights: I understand that if I am not satisfied with the policy, I have a right to cancel it and obtain a refund of any premium(s) and levy paid by giving written notice. A signed written notice and the policy must be received directly by the office of HSIC within the Cooling-off Period (that is, 21 days after the delivery of the policy or issue of a Notice informing the availability of the policy to me or my representative, whichever is earlier).
- I understand that the Insurance Authority ("IA") will impose a prescribed levy on this insurance policy pursuant to section 134 of the Insurance Ordinance (Cap. 41). Such levy payment should be made together with the premium payment to HSIC for direct remittance to the IA within the remittance period as specified by the IA. Subject to the applicable levy cap, the amount of levy payable for each premium payment is the amount of premium multiplied by the applicable levy rate as prescribed by IA. All subsequent premiums to be paid will also be subject to the applicable levy rate and cap. I/ We understand that it is the statutory duty of the policyholder to pay the prescribed levy to IA through HSIC. IA may impose on the policyholder concerned a pecuniary penalty not exceeding HK$5,000 for non-payment of levy.
I have read and understood the Cooling-off Rights, Premium Illustration (with premium adjustment every 10 years), the Policy Provision , the Hang Seng Bank Limited and its subsidiaries Privacy Principles and the Personal Information Collection Statement of HSIC and agree to be bound by the same.
I DECLARE and AGREE to all of the above statements and I confirm that I understood the premium will be adjusted every 10 years.
I confirm that my objective of buying this product is for financial protection against adversities in case of death, and upon diagnosed with cancer, and I understand that this product does not meet saving or investment objectives.
Note: If you have any doubts about the policy or its suitability for your circumstances, please visit one of branches for a more comprehensive discussion about your needs and our range of solutions.
I confirm that my monthly disposable income is at least HKD so that I am able to afford this policy's monthly premiums, which are guaranteed not to change for 10 years.
Policy Replacement Declaration: I confirm that I did not replace in the last 12 months and do not intend to replace in the next 12 months an existing life insurance policy(ies). I realize if I confirm it is not a policy replacement but indeed I did replace in the last 12 months or intend to replace in the next 12 months any part of my existing life insurance policy(ies) by this application/proposal, I may jeopardize my future right of redress if I find later that I have been disadvantaged because of such replacement.
I confirm that HSIC can use my personal data for providing me with product, facilities or services promotions or discount offers. I also agree that this opt-in choice will replace any previous instruction I gave and will apply to all existing insurance policies I have with you. If I do not check this box, I am opting out and such instruction will replace any previous instruction I gave and will apply to all existing insurance policies I have with you.
You can review and edit your responses before submitting your final application.
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| Disposable Income refers to the income you have remaining after paying all regular living expenses, MPF contributions, mortgage payments, education and other expenses |
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| Any transaction involving the purchase of life insurance is construed as a Replacement if (i) any existing life insurance policy(ies) or a substantial part of the sum insured of its/their basic life coverage has been/have been/will be terminated or (ii) a substantial part of the guaranteed cash value of the existing life insurance policy(ies) was reduced/will be reduced including where a policy loan was/will be taken out against a substantial part of the guaranteed cash value. Existing life insurance policy(ies) include(s) all types of traditional life, annuity and other non-traditional polices of the applicant/proposer, which has/have been terminated within 12 months before or will be terminated within 12 months after the new life insurance policy's issue date. Termination includes lapse, surrender, converted to reduced paid-up or extended-term insurance under the non-forfeiture provision of the existing life insurance policy(ies). "A substantial part" means "50% or above". However, converting term life insurance to whole life insurance (or some forms of permanent life insurance) under policy provisions of the existing life insurance policy(ies) is not construed as a Replacement. |
eCancerPro Insurance Plan
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Confirm
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Below are the completed details for you to preview and confirm
eCancerPro Insurance Plan Sum Insured
HKD
This covers
|
Monthly Premium
HKD
You enjoy months premium waiver.
Please read the Promotion Terms & Conditions
(+ $ Initial levy
*Levy: Effective from 1 January 2018, the Insurance Authority ("IA") will impose a prescribed levy on this insurance policy pursuant to section 134 of the Insurance Ordinance (Cap. 41). Such levy payment should be made together with the premium payment to Hang Seng Insurance Company Limited for direct remittance to the IA within the remittance period as specified by the IA. Subject to the applicable levy cap, the amount of levy payable for each premium payment is the amount of premium multiplied by the applicable levy rate as prescribed by IA. For more information, please click here
to visit our website.
)
*Levy: Effective from 1 January 2018, the Insurance Authority ("IA") will impose a prescribed levy on this insurance policy pursuant to section 134 of the Insurance Ordinance (Cap. 41). Such levy payment should be made together with the premium payment to Hang Seng Insurance Company Limited for direct remittance to the IA within the remittance period as specified by the IA. Subject to the applicable levy cap, the amount of levy payable for each premium payment is the amount of premium multiplied by the applicable levy rate as prescribed by IA. For more information, please click here
to visit our website.
|
Please verify the following details and click 'Confirm' to proceed:
Proposer's Personal Information
Last Name
First Name
HKID Card No.
Date of Birth
Gender
Male
Female
Smoking Habit
Smoker
Non-Smoker
Contact Information
E-mail address
Covered Child Information
Last Name
First Name
Birth Cert No. / HKID Card No.
Date of Birth
Gender
Male
Female
Notes
- Only one child with insurance age below 18 may be nominated as the Covered Child under the Child Benefit.
- Only natural child or legally-adopted child in the Hong Kong SAR of the applicant (policyholder) will be covered.
- The Child Benefit shall cease at the policy anniversary at which the Covered Child attains the insurance age of 18.
- The maximum payout under Child Benefit is HK$1,500,000 per Covered Child across all eCancerPro Insurance Plan policies issued by Hang Seng Insurance Company Limited.
- Hang Seng Insurance Company Limited reserves the right to accept or reject the nomination of the Covered Child for the Child Benefit under the Policy. A written confirmation to effect the Child Benefit will be sent to the applicant (policyholder) once it is approved by Hang Seng Insurance Company Limited.
- Under no circumstances shall there be any subsequent change of the Covered Child once nomination is approved by Hang Seng Insurance Company Limited.
Payment Information
Account Holder
Hang Seng Credit Card No.
Expiry Date
Hang Seng Saving Account No.
Amount to be debited
Own Estate
Beneficiary
| Name | Relationship | ID No. | Allocation % |
|---|---|---|---|
| Own Estate |
Important Note: Please note that additional document(s) is/are required for processing your application as verification is necessary for the nomination of your beneficiary relationship(s), you will receive a follow up letter regarding the required additional document(s). Please call our eCancerPro Hotline at 2998 8038
if you have any questions.
Medical Questions Responses
-
1.Have you been diagnosed with Cancer, Heart Disease or Stroke?NO
-
2.In past 5 years, have you been diagnosed or suffered from Diabetes, HIV related conditions, AIDS or any condition(s) affecting your brain, thyroid, blood, heart, lungs, gastric, breast, liver, kidney, uterus, ovaries, colon, prostate?NO YES
-
2a.Are the results of all investigation performed on any of the declared signs or symptoms abnormal and that treatment more than 30 days or ongoing follow up was required?NO
-
3.In the past year, have you had any symptoms such as unexplained bleeding or fever, weight loss, lumps or growth for which are yet to receive investigation or medical advice?NO
-
4.Do you have two or more natural parents or siblings with heart disease, diabetes, renal failure, or cancer of breast, ovaries, nose, throat, or colon before aged 50?NO
Declarations
- I, as Policy Applicant and payment account holder, confirm that I am not acting on behalf of any other person, and that I authorize Hang Seng Bank Limited ("HASE") to debit from the specified account for initial and subsequent premiums and applicable levy due as shall be instructed by Hang Seng Insurance Company Limited ("HSIC") from time to time.
- I am in Hong Kong at the time of making this online application.
- I understand that my personal information supplied in this application will be used in accordance with Personal Information Collection Statement and that any request to change my personal information in HSIC's records must be made through branches of HASE or as specified under Clause 5 of the said Statement.
- All statements and information I have provided in this application are complete and true and I will immediately inform HSIC and correct them if they have become incomplete, untrue or inaccurate subsequently before any policy is issued.
- All personal information that I have most recently provided to HASE such as ID documents, nationality, mobile number and payment account correspondence address is accurate and up to date and I consent to HASE providing my personal information to HSIC or any member of the HSBC Group ("HSBC Group" means HSBC Holdings plc, its affiliates, subsidiaries, associated entities and any of their branches and offices (together or individually) and "member of the HSBC Group" has the same meaning) and any agents, contractors, sub-contractors, service providers for the purpose of evaluating and processing this application. I understand that updated personal information such as ID documentation may be requested by HSIC if necessary, and the policy may not be issued if any such requested information or documents are not provided within a specified time.
- I understand that submission of this application does not guarantee its approval, and that a policy will only be approved after (i) the satisfaction of HSIC's prevailing eligibility requirements and principles of underwriting rules and (ii) the first premium payment has been processed. If the application is approved, the policy will be made effective from the date a valid application was submitted.
- Cooling-off Rights: I understand that if I am not satisfied with the policy, I have a right to cancel it and obtain a refund of any premium(s) and levy paid by giving written notice. A signed written notice and the policy must be received directly by the office of HSIC within the Cooling-off Period (that is, 21 days after the delivery of the policy or issue of a Notice informing the availability of the policy to me or my representative, whichever is earlier).
- I understand that the Insurance Authority ("IA") will impose a prescribed levy on this insurance policy pursuant to section 134 of the Insurance Ordinance (Cap. 41). Such levy payment should be made together with the premium payment to HSIC for direct remittance to the IA within the remittance period as specified by the IA. Subject to the applicable levy cap, the amount of levy payable for each premium payment is the amount of premium multiplied by the applicable levy rate as prescribed by IA. All subsequent premiums to be paid will also be subject to the applicable levy rate and cap. I/ We understand that it is the statutory duty of the policyholder to pay the prescribed levy to IA through HSIC. IA may impose on the policyholder concerned a pecuniary penalty not exceeding HK$5,000 for non-payment of levy.
I have read and understood the Cooling-off Rights, Premium Illustration (with premium adjustment every 10 years), the Policy Provision, the Hang Seng Bank Limited and its subsidiaries Privacy Principles and the Personal Information Collection Statement of HSIC and agree to be bound by the same.
I DECLARE and AGREE to all of the above statements and I confirm that I understood the premium will be adjusted every 10 years.
I confirm that my objective of buying this product is for financial protection against adversities in case of death, and upon diagnosed with cancer, and I understand that this product does not meet saving or investment objectives.
Note: If you have any doubts about the policy or its suitability for your circumstances, please visit one of branches for a more comprehensive discussion about your needs and our range of solutions.
I confirm that my monthly disposable income is at least HKD so that I am able to afford this policy's monthly premiums, which are guaranteed not to change for 10 years.
Policy Replacement Declaration: I confirm that I did not replace in the last 12 months and do not intend to replace in the next 12 months an existing life insurance policy(ies). I realize if I confirm it is not a policy replacement but indeed I did replace in the last 12 months or intend to replace in the next 12 months any part of my existing life insurance policy(ies) by this application/proposal, I may jeopardize my future right of redress if I find later that I have been disadvantaged because of such replacement.
I confirm that HSIC can use my personal data for providing me with product, facilities or services promotions or discount offers. I also agree that this opt-in choice will replace any previous instruction I gave and will apply to all existing insurance policies I have with you. If I do not check this box, I am opting out and such instruction will replace any previous instruction I gave and will apply to all existing insurance policies I have with you.
eCancerPro Insurance Plan
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Thank you for your application
The online application will be processed and approved after verification of the information your have submitted. We'll notify you on the progress of your application within seven working days by sending you a SMS message.
Please be reminded that the coverage of your applied insurance plan(s) has not been effective yet. Your policy effective date will be dated back to your online application submission date should your application is approved.
If you have any questions, please contact our eCancerPro Hotline at 2998 8038.
Reference No.:
Insurance Plan
- Sum Insured
- HKD
- Initial Premium
- HKD
- Initial Levy* Amount
- HKD
- Initial Premium and Levy* Payment
- HKD
- Promo Code
-
You enjoy months premium waiver.
(the month premium is waived for the first year)
Please read the Promotion Terms & Conditions
Note: Due to the adjustment of the decimal places, the above premiums may differ from the actual amount of the premium payable by less than HKD 1.00.
*Levy: Effective from 1 January 2018, the Insurance Authority ("IA") will impose a prescribed levy on this insurance policy pursuant to section 134 of the Insurance Ordinance (Cap. 41). Such levy payment should be made together with the premium payment to Hang Seng Insurance Company Limited for direct remittance to the IA within the remittance period as specified by the IA. Subject to the applicable levy cap, the amount of levy payable for each premium payment is the amount of premium multiplied by the applicable levy rate as prescribed by IA. For more information, please click here to visit our website.
Applicant/ Insured Person
- Name
- HKID Card No.
- Payment Account
- Date of Birth
- Gender
- Male Female
- Smoking Habit
- Smoker Non-Smoker
Covered Child
- Name
- Birth Cert No. / HKID Card No.
- Date of Birth
- Gender
-
MaleFemale
Notes
- Only one child with insurance age below 18 may be nominated as the Covered Child under the Child Benefit.
- Only natural child or legally-adopted child in the Hong Kong SAR of the applicant (policyholder) will be covered.
- The Child Benefit shall cease at the policy anniversary at which the Covered Child attains the insurance age of 18.
- The maximum payout under Child Benefit is HK$1,500,000 per Covered Child across all eCancerPro Insurance Plan policies issued by Hang Seng Insurance Company Limited.
- Hang Seng Insurance Company Limited reserves the right to accept or reject the nomination of the Covered Child for the Child Benefit under the Policy. A written confirmation to effect the Child Benefit will be sent to the applicant (policyholder) once it is approved by Hang Seng Insurance Company Limited.
- Under no circumstances shall there be any subsequent change of the Covered Child once nomination is approved by Hang Seng Insurance Company Limited.
Beneficiary
| Name | Relationship | ID No. | Allocation % |
|---|---|---|---|
| Own Estate |
Important Note: Please note that additional document(s) is/are required for processing your application as verification is necessary for the nomination of your beneficiary relationship(s), you will receive a follow up letter regarding the required additional document(s). Please call our eCancerPro Hotline at 2998 8038
if you have any questions.
Medical Questions Responses
- 1.Have you been diagnosed with Cancer, Heart Disease or Stroke?NO YES
- 2.In past 5 years, have you been diagnosed or suffered from Diabetes, HIV related conditions, AIDS or any condition(s) affecting your brain, thyroid, blood, heart, lungs, gastric, breast, liver, kidney, uterus, ovaries, colon, prostate?NO YES
-
2a.Are the results of all investigation performed on any of the declared signs or symptoms abnormal and that treatment more than 30 days or ongoing follow up was required?NO YES
- 3.In the past year, have you had any symptoms such as unexplained bleeding or fever, weight loss, lumps or growth for which are yet to receive investigation or medical advice?NO YES
- 4.Do you have two or more natural parents or siblings with heart disease, diabetes, renal failure, or cancer of breast, ovaries, nose, throat, or colon before aged 50?NO YES
Declarations
- I, as Policy Applicant and payment account holder, confirm that I am not acting on behalf of any other person, and that I authorize Hang Seng Bank Limited ("HASE") to debit from the specified account for initial and subsequent premiums and applicable levy due as shall be instructed by Hang Seng Insurance Company Limited ("HSIC") from time to time.
- I am in Hong Kong at the time of making this online application.
- I understand that my personal information supplied in this application will be used in accordance with Personal Information Collection Statement and that any request to change my personal information in HSIC's records must be made through branches of HASE or as specified under Clause 5 of the said Statement.
- All statements and information I have provided in this application are complete and true and I will immediately inform HSIC and correct them if they have become incomplete, untrue or inaccurate subsequently before any policy is issued.
- All personal information that I have most recently provided to HASE such as ID documents, nationality, mobile number and payment account correspondence address is accurate and up to date and I consent to HASE providing my personal information to HSIC or any member of the HSBC Group ("HSBC Group" means HSBC Holdings plc, its affiliates, subsidiaries, associated entities and any of their branches and offices (together or individually) and "member of the HSBC Group" has the same meaning) and any agents, contractors, sub-contractors, service providers for the purpose of evaluating and processing this application. I understand that updated personal information such as ID documentation may be requested by HSIC if necessary, and the policy may not be issued if any such requested information or documents are not provided within a specified time.
- I understand that submission of this application does not guarantee its approval, and that a policy will only be approved after (i) the satisfaction of HSIC's prevailing eligibility requirements and principles of underwriting rules and (ii) the first premium payment has been processed. If the application is approved, the policy will be made effective from the date a valid application was submitted.
- Cooling-off Rights: I understand that if I am not satisfied with the policy, I have a right to cancel it and obtain a refund of any premium(s) and levy paid by giving written notice. A signed written notice and the policy must be received directly by the office of HSIC within the Cooling-off Period (that is, 21 days after the delivery of the policy or issue of a Notice informing the availability of the policy to me or my representative, whichever is earlier).
- I understand that the Insurance Authority ("IA") will impose a prescribed levy on this insurance policy pursuant to section 134 of the Insurance Ordinance (Cap. 41). Such levy payment should be made together with the premium payment to HSIC for direct remittance to the IA within the remittance period as specified by the IA. Subject to the applicable levy cap, the amount of levy payable for each premium payment is the amount of premium multiplied by the applicable levy rate as prescribed by IA. All subsequent premiums to be paid will also be subject to the applicable levy rate and cap. I/ We understand that it is the statutory duty of the policyholder to pay the prescribed levy to IA through HSIC. IA may impose on the policyholder concerned a pecuniary penalty not exceeding HK$5,000 for non-payment of levy.
- I have read and understood the Cooling-off Rights, Premium Illustration (with premium adjustment every 10 years), the Policy Provision, the Hang Seng Bank Limited and its subsidiaries Privacy Principles and the Personal Information Collection Statement of HSIC and agree to be bound by the same.
- I DECLARE and AGREE to all of the above statements and I confirm that I understood the premium will be adjusted every 10 years.
- I confirm that my objective of buying this product is for financial protection against adversities in case of death, and upon diagnosed with cancer, and I understand that this product does not meet saving or investment objectives.
- Note: If you have any doubts about the policy or its suitability for your circumstances, please visit one of branches for a more comprehensive discussion about your needs and our range of solutions.
- I confirm that my monthly disposable income is at least HKD so that I am able to afford this policy's monthly premiums, which are guaranteed not to change for 10 years.
- Policy Replacement Declaration: I confirm that I did not replace in the last 12 months and do not intend to replace in the next 12 months an existing life insurance policy(ies). I realize if I confirm it is not a policy replacement but indeed I did replace in the last 12 months or intend to replace in the next 12 months any part of my existing life insurance policy(ies) by this application/proposal, I may jeopardize my future right of redress if I find later that I have been disadvantaged because of such replacement.
- I confirm that HSIC can use my personal data for providing me with product, facilities or services promotions or discount offers. I also agree that this opt-in choice will replace any previous instruction I gave and will apply to all existing insurance policies I have with you. If I do not check this box, I am opting out and such instruction will replace any previous instruction I gave and will apply to all existing insurance policies I have with you.
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eCancerPro Insurance Plan
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Thank you for your time in completing the medical questions.
Based on the answers you have provided for the medical questions, our dedicated customer service officer would need to contact you to further follow up and handle your application. Please input your contact details below for us to call you.
For enquiries, you may call our eCancerPro Hotline at 2998 8038.
Fields marked "*" are mandatory.
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I acknowledge and agree that HSIC may transfer my personal information to HASE for direct marketing purpose pursuant to the terms of Personal Information Collection Statement.
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