来华保险投保与理赔指南


A Guide for People Coming to China to Insure and Claim

尊敬的平安保险公司客户:
  您如果想了解中国平安人寿保险股份有限公司来华人员综合保险理赔服务内容 , 请您仔细阅读下列内容。
Respectful clients of Ping An Insurance Company:
  If you would like to know services for settlement of claims of comprehensive insurance for people coming to China , please read this guide carefully.   

  理赔程序  
  保险事故发生后,理赔的规范程序
  Procedure of settling claims: On occurrence of the insured incident, the standard procedure for settling the claims are as follows:

  1 、直接向平安保险北京分公司理赔部报案。
电 话:( 010 ) 66210383 、 66213388 —— 83101 慈霞女士或冯伟先生;
  1.1 Report to the claim settlement department of Beijing branch of Ping An Insurance Company directly by telephoning to Ms. Ci Xia or Mr. Feng Wei on (010) 66210383 or 66213388 —— 83101;

  2 、理赔应备文件:
  1.2 Documents to be presented for settlement of claims:

  •团体一年定期寿险
  Group term life insurance of one year

  A. 被保险人护照复印件;
  Copy of passport of the insured;

  B. 被保险人伤残时需提供伤残鉴定证明(由司法或劳动部门出具);
  Disability assay certificate in case the insured is disabled (provided by judicial or labor department);

  C. 被保险人死亡需提供死亡证明;
  Death certificate of the insured;

  D. 如发生交通事故,需出具公安交通部门的事故证明;
  Proof of accident provided by the communications department of the police in case an traffic accident occurs;

  E. 被保险人死亡时提供受益人身份证明复印件;
  Copy of the beneficiary's identity proof in case the insured is dead;

  F. 死亡赔付需提供受益人亲笔签字认可的保险分配方案的文件;
  Insurance distribution scheme signed and ratified by the beneficiary in death compensation;

  G. 被保险人保险卡复印件;
  Copy of the insurance card of the insured. 

  • 团体意外伤害附加医疗
  Annexed medical treatment to group accidental injury
 
  A. 被保险人护照复印件;
  Copy of passport of the insured;
  
  B. 意外事故经过及证明(若是交通事故则需出具公安交通部门事故证明 );
  Process of the accident and its proof (A proof of accident provided by the communications department of the police has to be presented in case a traffic accident occurs);

  C. 医院诊断证明、病历本以及门诊收据、药费处方、超声波、 CT 、 X 光片、核磁等辅


助检查报告单; 
  Diagnoses certificate and the medical records and medical examination receipt, diagnoses with medical charge, assist examination record of ultrasonic, CT, X-ray, nuclear and magnetic etc.

  D. 被保险人保险卡复印件;
  Copy of the insurance card of the insured.

  •团体住院医疗
  Group medical treatment in hospital
  A. 被保险人护照复印件;
  Copy of passport of the insured;

  B. 意外事故经过及证明;
  Process of the accident and its proof;

  C. 医院诊断证明以及住院收据住院明细文件原件;
  Original copy of diagnoses certificate and receipt and detailed documents for hospitalization;

  D. 被保险人保险卡复印件;
  Copy of the insurance card of the insured

  •每次赔案文件中须附上被保险人或学校指定的银行帐号 , 并本人签字或学校盖章.
  •Account number of the insured or the school in designated bank and the signature or school's seal is to be annexed to each of the claim settling documents.

  注: 1 、若一次保险事故分别在两家(合)以上医院就诊,须出具相应医院诊断证明书、病历本等相关文件。
  2 、就诊医院为公立二级(含)以上医疗机构。
  3 、保险公司理赔完成后将加盖本公司公章的医药费分割单同赔款一同寄至申请人,以报销余下部分医药费。 

 
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