Joyful Care Critical Illness Insurance Plan

Remarks:

1. The total benefit amount under “special disease benefit” and “protection shelter benefit” is up to 100% of the original sum assured.
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 benefit” (if any) and/or “protection shelter benefit” (if any), and all indebtedness (if any) will be deducted.
4. 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).
5. If the policyholder has settled all due premiums and no claim for “special disease benefit”, “critical illness benefit”, “protection shelter benefit” and “extra protection shelter benefit” has been made, the policyholder can submit a written request of converting the Plan to a designated whole-life critical illness plan to China Life (Overseas), without proof of insurability required, yet the request is subject to the prevailing terms and conditions.
6. Extended care for children benefit
   1. To enjoy “extended children’s care benefit”, the policyholder must successfully register the insured into the “Elite Care Critical Illness Insurance Plan” of which his/her father or mother as the insured before the policy effective date of the insured’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 the insured;
      2. such new cancer diagnosed by a specialist is caused by different malignant cells origin from any previous illness of the insured which is a cancer;
      3. such cancer diagnosed by a specialist as a persistent cancer continued from the previous illness of the insured which is a cancer, at least 2 years are required between the diagnosis dates of the 2 cancers stated above (both dates inclusive). 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 specialist during this 2-year waiting period as stated above (both dates inclusive);
      4. such heart attack is a new and separate heart attack compared with any previous illness of the insured paid under the Plan which is heart attack with confirmation by a specialist, at least 1-year is required between the diagnosis dates of the 2 heart attacks stated above (both dates inclusive, also such diagnosis must fulfil the heart attack under the definition 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 of the insured paid under the Plan which is stroke with confirmation by a specialist, at least 1-year is required between the date of diagnosis 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 provisions with supporting evidence of new diagnosis.
      “Previous illness” refers to any of the followings, whichever is later:
      1. the critical illness(es) that the insured claimed for “critical illness benefit” under the Plan; or
      2. the critical illness(es) that the insured claimed for “extend care for children benefit” under the insured’s father or mother’s “Elite Care Critical Illness Insurance Plan”.
   3. “Extended care for children benefit” will be terminated upon the earliest occurrence of any of the followings:
      1. the birthday which the insured reaches age 21;
      2. the policy anniversary which the insured’s father or mother who is the insured of an “Elite Care Critical Illness Insurance Plan” Policy reaches 88 years old;
      3. the total benefit payout of “multiple critical illness benefit” and “extended care for children benefit” of the insured’s father or mother’s “Elite Care Critical Illness Insurance Plan” has reached extra 320% of the original sum assured (if this “Elite Care Critical Illness Insurance Plan” does not belong to a family group); or
      4. the family pool balance of the insured’s father or mother’s “Elite Care Critical Illness Insurance Plan” becomes zero (if this “Elite Care Critical Illness Insurance Plan” belongs to a family group).
7. Family pool/family pool balance under “Elite Care Critical Illness Insurance Plan”will be adjusted in accordance with the conditions below. Family pool balance may become zero in some circumstances.
   1. any family member of a family group successfully include a child born after policy effective date into the group;
   2. any family member of a family group exercise “children’s policy convertible option” under “Joyful Care Critical Illness Insurance Plan”;
   3. any family member of a family group passes away;
   4. the policy anniversary of any family member of a family group reaches age 88 ;
   5. any family member of a family group successfully applied to leave the family group; or
   6. any family member of a family group is lapsed, surrendered or terminated.
8. The insured’s father or mother has enrolled into “Elite Care Critical Illness Insurance Plan” as the insured and the policy is still in force on or before the policy effective date of the insured’s “Joyful Care Critical Illness Insurance Plan”. Hence, the parent must successfully register the insured under his/her “Elite Care Critical Illness Insurance Plan” through application form or written request accepted by China Life (Overseas) and obtain China Life (Overseas)’s confirmation. To exercise “convertible option for children”, China Life (Overseas) must still accept new policy application. At the same time, the Insured is in Immediate family relationship with all family members in the family group of the father or mother of the insured and China Life (Overseas) is satisfied with the insurable interest and all the family members of the family group of the insured’s parent have not placed any claims under their “Elite Care Critical Illness Insurance Plan”.
9. When the Plan is taken as a basic plan, you have to pay policy fee of HKD200/USD25 (subject to policy currency) per year during premium payment term in addition to premiums.
10. 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 (if any) received by you may be considerably less than the total amount of the premium paid.

Important Information